
| Regimental number | 5346 |
| Place of birth | Clare, South Australia |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Carey's Gully, South Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, R Cook, Carey's Gully, Mount Lofty, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A60 Aeneas on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front |
| Date of death | |
| Age at death | 61 |
| Place of burial | North Road Church of England Cemetery, Adelaide, South Australia |