| Regimental number | 1109 |
| Religion | Wesleyan |
| Occupation | Steward |
| Address | 267 Bridge Road, Forest Lodge, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs M E Cooke, 267 Bridge Road, Forest Lodge, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Lance Corporal |
| Unit name | 3rd Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/20/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
