| Regimental number | 5575 |
| Place of birth | Liverpool England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Bumbalding, New South Wales |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Mother, Mrs Elizabeth Cookson, 24 Park Street, Liverpool, England |
| Enlistment date | 16 April 1916 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/35/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 9 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | MGCorps |
| Fate | Returned to Australia 8 September 1919 |