| Regimental number | 2713 |
| Place of birth | Birkenhead England |
| Religion | Congregational |
| Occupation | Station hand |
| Address | 371 Angas Street, Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Brother, Thos Cook, Birkenhead, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Field Ambulance |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Field Ambulance |
| Fate | nig |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
