| Regimental number | 3634 |
| Place of birth | Goole England |
| Religion | Methodist |
| Occupation | Cook and baker |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs E E Cook, 24 Page Street, Albert Park, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 46th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/63/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 46th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
