| Regimental number | 2567 |
| Date of birth | |
| Place of birth | Cairns Queensland |
| Religion | Church of England |
| Occupation | Postal assistant |
| Address | Norman Street, Wooloowin, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Susan Cook, Norman Street, Wooloowin, Queensland |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 15th Battalion |
| Promotions |
2nd Lieutenant Unit: INF15 Promotion date: Lieutenant Unit: INF15 Promotion date: |
| Fate | Returned to Australia |