| Regimental number | 278 |
| Place of birth | Eaglehawk, Victoria |
| Religion | Church of England |
| Occupation | Jute broker |
| Address | Traralgon, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Jessie Elizabeth Cooke, Traralgon, Victoria |
| Enlistment date | 18 January 1916 |
| Rank on enlistment | Private |
| Unit name | Australian Flying Corps, No 1 Squadron, C Flight |
| AWM Embarkation Roll number | 8/4/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on 16 March 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
