| Regimental number | 2367 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | French polisher |
| Address | Redfern, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Emma Jane Cook, 44 Lander Street, Redfern, New South Wales |
| Enlistment date | 9 January 1917 |
| Rank on enlistment | Private |
| Unit name | February 1917 Reinforcements, Imperial Camel Corps |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Morea on 17 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Signal Squadron |
| Fate | Returned to Australia 22 December 1918 |
