| Regimental number | 65204 |
| Occupation | Carpenter |
| Next of kin | Wife, Mrs C N Cook, c/o Mrs J Cook, 139 York Place, Dunedin |
| Rank on embarkation | Sergeant |
| Unit name | New Zealand Expeditionary Force, 38th Reinforcements, B Company |
| Embarkation details | Unit embarked from New Zealand on board HMNZT No 105 Remuera on |
| Sources | Nominal Rolls Vol. 4: Roll 83, p. 6 |