| Regimental number | 1092 |
| Place of birth | Moballe, Ireland |
| Religion | Church of England |
| Occupation | Boilermaker |
| Address | High Street, Queenstown, Alberton, South Australia |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs M A Cook, High Street, Queenstown, Alberton, South Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Place of enlistment | Keswick, South Australia |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, B Company |
| AWM Embarkation Roll number | 23/44/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A2 Geelong on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Field Company Engineers |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |
| Date of death | |
| Age at death | 84 |
| Place of burial | Cheltenham Cemetery, South Australia |
| Sources | NAA: B2455, COOK Sam |