| Regimental number | 3290 |
| Place of birth | Israelite Bay, Western Australia |
| Religion | Roman Catholic |
| Occupation | Grazier |
| Address | Baladonia via Israelite Bay, Western Australia |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs Margaret Cook, Israelite Bay, Western Australia |
| Enlistment date | 14 August 1916 |
| Date of enlistment from Nominal Roll | 22 August 1916 |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 27th Reinforcement |
| AWM Embarkation Roll number | 10/15/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A15 Port Sydney on 22 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Light Horse Regiment |
| Fate | Returned to Australia 10 July 1919 |
