| Regimental number | 4683 |
| Place of birth | Kyneton, Victoria |
| Religion | Church of England |
| Occupation | Typist and stenographer |
| Address | Navigation Department, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, H Cook, 90 Munro Street, Coburg, Victoria |
| Enlistment date | 2 September 1915 |
| Date of enlistment from Nominal Roll | 23 September 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 15 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Returned to Australia 23 May 1917 |
