| Regimental number | 18119 |
| Place of birth | Gunnedah New South Wales |
| Religion | Church of England |
| Occupation | Chemist |
| Address | Manly, New South Wales |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs M C Cooke, 7 High Street, Manly, New South Wales |
| Enlistment date | 28 May 1917 |
| Date of enlistment from Nominal Roll | 23 May 1917 |
| Rank on enlistment | Staff Sergeant |
| Unit name | Staff Sergeant Dispensers |
| AWM Embarkation Roll number | 26/108/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 5 November 1917 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 23 July 1919 |
