| Regimental number | 13555 |
| Place of birth | St Marys, Tasmania |
| Religion | Church of England |
| Occupation | Painter |
| Address | Longford, Tasmania |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Wife, Mrs L G Cooke, Longford, Tasmania |
| Enlistment date | 15 October 1915 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A61 Kanowna on 1 April 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | Australian Corps School |
| Fate | Returned to Australia 23 July 1919 |
