| Regimental number | 6016 |
| Place of birth | Portsmouth England |
| Religion | Church of England |
| Occupation | Dairyman |
| Address | 545 High Street, Fremantle, Western Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs E Cooksley, 66 Sugden Road, Lavender Hill London, England |
| Enlistment date | 27 March 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A28 Miltiades on 7 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 1 June 1919 |
