
| Regimental number | 663 |
| Date of birth | |
| Place of birth | High Street, Queenstown, South Australia |
| School | Alberton Public School, South Australia |
| Religion | Protestant |
| Occupation | Labourer |
| Address | Webb Street, Portland, South Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Martha Elizabeth Cook, Webb Street, Portland, South Australia |
| Previous military service | Nil |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, F Company |
| AWM Embarkation Roll number | 23/29/1 |
| Embarkation details | Unit embarked from Hobart, Tasmania, on board Transport A2 Geelong on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Died of wounds |
| Place of death or wounding | Boire, Belgium |
| Age at death | 30 |
| Age at death from cemetery records | 30 |
| Place of burial | Borre British Cemetery (Plot I, Row A, Grave No. 3), France |
| Panel number, Roll of Honour, Australian War Memorial | 65 |
| Miscellaneous information from cemetery records | Parents: John and Martha Elizabeth COOK, Spring Street, Queenstown, Queensland |
| Family/military connections | Brother in law and cousins. |
| Other details | War service: Egypt, Gallipoli, France, Belgium. |