| Regimental number | 4671 |
| Place of birth | Richmond, Victoria |
| Religion | Church of England |
| Occupation | Postal employee |
| Address | 56 Lang Street, Carlton, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, Mr R D Cook, 16 Emerald Street, South Melbourne, Victoria |
| Enlistment date | 19 November 1915 |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/24/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 January 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | Australian Corps Signal Company |
| Fate | Returned to Australia 16 June 1919 |
