| Regimental number | 2698 |
| Place of birth | Hull England |
| Religion | Church of England |
| Occupation | Woodworker |
| Address | Newport, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Guardian, C Cook, 34 Hillfield Avenue, Hornsby, London North, England |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | 2nd Air Mechanic |
| Unit name | Australian Flying Corps, 3rd Special Draft |
| AWM Embarkation Roll number | 8/15/3 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Flying Corps |
| Fate | Discharged |