| Regimental number | 13272 |
| Place of birth | Worchestershire, England |
| Religion | Church of England |
| Occupation | Valet |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs S Cooke, 'Fernside', Park Lane, Bewdley, Worcestershire, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A63 Karoola on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | Australian Flying Corps |
| Miscellaneous details (Nominal Roll) | No details of fate entered on Nominal Roll. |
| Miscellaneous information from cemetery records | Photo: Ian Marr |
| Date of death | |
| Age at death | 52 |
| Place of burial | Darlington Cemetery, Victoria |