| Regimental number | 16 |
| Place of birth | Carlton, Victoria |
| Religion | Church of England |
| Occupation | Chemist's assistant |
| Address | Maldon, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, R Cooke, Police Station, Maldon, Victoria |
| Previous military service | 49th Infantry |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | No 1 Australian General Hospital |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Mooltan on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Field Ambulance |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |