| Regimental number | 4088 |
| Place of birth | Sydney New South Wales |
| Religion | Methodist |
| Occupation | Sawyer |
| Address | 319 Crown Street, Surry Hills, Surry Hills, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Mother, Mrs E C Cook, Tennyson, Parramatta Road via Ryde, Sydney, New South Wales |
| Enlistment date | 25 October 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on 8 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 9 February 1919 |
