| Regimental number | 28319 |
| Place of birth | North Carlton, Victoria |
| Religion | Methodist |
| Occupation | Estate agent |
| Address | 797 Drummond Street, North Carlton, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs S H Cook, 797 Drummond Street, North Carlton, Victoria |
| Enlistment date | 7 March 1916 |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 4, Reinforcement 10 |
| AWM Embarkation Roll number | 13/32/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 4th Field Artillery Brigade |
| Fate | Returned to Australia 1 July 1919 |
