| Regimental number | 5793 |
| Place of birth | Liverpool New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 4 Mount Street, Prahran, Victoria |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Sister, Maggie Cooke, 4 Mount Street, Prahran, Victoria |
| Enlistment date | 29 February 1916 |
| Date of enlistment from Nominal Roll | 28 February 1915 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/35/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia 10 March 1918 |
