| Regimental number | 5448 |
| Place of birth | Koolunga, South Australia |
| Religion | Methodist |
| Occupation | Carpenter |
| Address | Hummocks Hill, via Port Pirie, South Australia |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs C L Cook, Hummocks Hill, via Port Pirie, South Australia |
| Enlistment date | 13 May 1915 |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 4, Reinforcement 9 |
| AWM Embarkation Roll number | 26/47/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A15 Star Of England on 21 September 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
