| Regimental number | 3678 |
| Place of birth | Northam, Western Australia |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Kwolyin, Western Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, S Cook, Kwolyin, Western Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 33rd Reinforcement |
| AWM Embarkation Roll number | 10/15/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT Ormonde on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Light Horse Regiment |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in Western Australia Garden of Remembrance |
| Date of death |