| Regimental number | 53938 |
| Place of birth | Albury New South Wales |
| Religion | Roman Catholic |
| Occupation | Plumber |
| Address | Redfern, New South Wales |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs A M Cooke, 7 Redfern Street, Redfern, New South Wales |
| Enlistment date | 21 April 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 5 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Feldmarschall on 19 June 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
