| Regimental number | 1634 |
| Place of birth | Tamworth New South Wales |
| Religion | Methodist |
| Occupation | Draper |
| Address | Balo Street, Moree, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Mary Ann Cooksley, Balo Street, Moree, New South Wales |
| Enlistment date | 24 February 1916 |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/53/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 13 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 33rd Battalion |
| Fate | Returned to Australia 19 February 1919 |
