| Regimental number | 7479 |
| Place of birth | Newcastle New South Wales |
| Religion | Methodist |
| Occupation | Telephone mechanic |
| Address | 'Temby', Melville Street, Junction, Newcastle, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs. Elizabeth Cook, 'Temby,' Melville Street, Junction, Newcastle, New South Wales |
| Enlistment date | 22 January 1916 |
| Rank on enlistment | Sapper |
| Unit name | Divisional Signal Company 1, Reinforcement 16 |
| AWM Embarkation Roll number | 22/11/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Makarini on 1 April 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
