| Regimental number | 1738 |
| Religion | Church of England |
| Occupation | Storekeeper |
| Address | Penrith, New South Wales |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Mother, Mrs S Cook, Coolah, New South Wales |
| Enlistment date | 21 January 1919 |
| Rank on enlistment | Private |
| Unit name | Australian Naval & Military Expeditionary Force Reinforcements, March 1915 to May 1919 |
| AWM Embarkation Roll number | 23/112/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Melusia on 19 February 1919 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |