| Regimental number | 2286 |
| Place of birth | Cardwell Queensland |
| Religion | Roman Catholic |
| Occupation | Licensed victualler |
| Address | Cardwell, Queensland |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Maria Cook, Cardwell, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 41st Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/58/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A48 Boonah on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 41st Battalion |
| Recommendations (Medals and Awards) |
Military Medal Recommendation date: |
| Fate | Returned to Australia |