| Regimental number | 3983 |
| Place of birth | Dubbo New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Bon Accord, Doncaster Avenue, Kensington, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, A. Cook, Trangie, New South Wales |
| Enlistment date | 25 August 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/19/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 30 December 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Date of death | 27 September 1956 |
| Place of burial | Rookwood Crematorium |
