| Regimental number | 21059 |
| Place of birth | Gunnedah New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | North Street, Quirindi, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, R Cook, North Street, Quirindi, New South Wales |
| Previous military service | 13th Infantry |
| Enlistment date | 9 September 1915 |
| Rank on enlistment | Gunner |
| Unit name | 9th Field Artillery Brigade, 35th Battery |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board H.M.A.T. A8 Argyllshire on 11 May 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 10th Field Artillery Brigade |
| Fate | Returned to Australia 15 June 1919 |
