| Regimental number | 4275 |
| Place of birth | Penrith New South Wales |
| Religion | Church of England |
| Occupation | Grazier |
| Address | Bellaringa Station via Jackson, Qqld |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, Frederick Arthur H Cork, Bellaringa Station via Jackson, Qqld |
| Enlistment date | 12 September 1916 |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/46/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A19 Afric on 3 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia 26 January 1919 |
