| Regimental number | 21075 |
| Place of birth | Sydney New South Wales |
| Religion | Presbyterian |
| Occupation | Accountant |
| Address | Oatley, New South Wales |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs E L Cook, 'Sydett', Mi Mi Street, Oatley, New South Wales |
| Enlistment date | 24 October 1918 |
| Rank on enlistment | Sergeant |
| Unit name | Army Medical Corps, Sea Transport Staff, Section 10 (Mental) |
| AWM Embarkation Roll number | 26/104/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 2 November 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll: ship recalled owing to cessation of hostilities. |