| Regimental number | 6773 |
| Place of birth | Kent England |
| Religion | Salvation Army |
| Occupation | Painter |
| Address | Goodwood, South Australia |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs C E Cooke, 9 Essex Street, Goodwood, South Australia |
| Enlistment date | 29 September 1916 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/44/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A60 Aeneas on 30 October 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 27th Battalion |
| Fate | Returned to Australia 6 June 1918 |
