| Regimental number | 2210 |
| Place of birth | Addlestone England |
| Religion | Church of England |
| Occupation | Painter |
| Address | 228 Stanley Street, West Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs E Cook, 228 Stanley Street, West Melbourne, Victoria |
| Enlistment date | 15 March 1915 |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/24/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on 17 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 58th Battalion |
| Fate | Returned to Australia 4 May 1917 |
