| Regimental number | 21630 |
| Place of birth | Foxton, New Zealand |
| Religion | Church of England |
| Occupation | Wireless operator |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, W Thompson Cook, King George Avenue, Epsom, Auckland, New Zealand |
| Enlistment date | 30 May 1917 |
| Rank on enlistment | Sapper |
| Unit name | 1st-4th Signal Troops - February, 1918, Reinforcements |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Darwin on 30 April 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |