| Regimental number | 5059 |
| Place of birth | Maitland New South Wales |
| Religion | Church of England |
| Occupation | Horse trainer |
| Address | The Towers, Randwick, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Father, G Cook, Widdin By Kerrahee, via Muswellbrook, New South Wales |
| Enlistment date | 7 January 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia 2 June 1919 |