| Regimental number | 2812 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Fanning Street, Tempe, New South Wales |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs E Cook, Fanning Street, Tempe, New South Wales |
| Enlistment date | 29 June 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/20/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 30 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 28 March 1919 |
