| Regimental number | 2805 |
| Place of birth | Wagga Wagga New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Beechworth, Victoria |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Fanny Cook, Mellish Street, Beechworth, Victoria |
| Enlistment date | 10 May 1915 |
| Date of enlistment from Nominal Roll | 28 May 1915 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/31/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 27 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia 25 August 1917 |
