| Regimental number | 3097 |
| Place of birth | Smithfield New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Chidlows Well, Western Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, C Cook, Chidlows Well, Western Australia |
| Enlistment date | 28 June 1915 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A32 Themistocles on 13 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Corps School |
| Fate | Effective abroad (still overseas) |
