| Regimental number | 511 |
| Date of birth | |
| Place of birth | Eltham |
| Religion | Church of England |
| Occupation | Fruiterer |
| Address | Croydon, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs E Cook, Croydon, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 8th Light Horse Regiment, C Squadron |
| AWM Embarkation Roll number | 10/13/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A16 Star of Victoria on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | Australian Army Service Corps |
| Promotions |
2nd Lieutenant Unit: Mtd Div Train Promotion date: Lieutenant Unit: Mtd Div Train Promotion date: |
| Fate | Returned to Australia |