| Regimental number | 2372 |
| Place of birth | Maleny Queensland |
| Religion | Church of England |
| Occupation | Farmer |
| Address | malony, North Coast Line, Queensland |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Ada Cooke, Malony, North Coast Line, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 16th Reinforcement |
| AWM Embarkation Roll number | 10/10/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A47 Mashobra on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Field Artillery Brigade |
| Recommendations (Medals and Awards) |
Military Medal Recommendation date: Military Medal Recommendation date: |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 109 Date: |