| Regimental number | 2391 |
| Place of birth | Freemantle, Western Australia |
| Religion | Congregational |
| Occupation | Motor lorry driver |
| Address | 9 Garden Street, West Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs Mary Amelia Cook, Chester Street, South Fremantle, Western Australia |
| Enlistment date | 17 April 1916 |
| Rank on enlistment | Private |
| Unit name | 51st Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/68/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A66 Uganda on 20 September 1916 |
| Regimental number from Nominal Roll | 2391A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 51st Battalion |
| Fate | Returned to Australia 27 September 1917 |
