| Regimental number | 278 |
| Religion | Church of England |
| Occupation | Jute broker |
| Address | Traralgon, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Jessie Elizabeth Cooke, Traralgon, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Australian Flying Corps, No 1 Squadron, C Flight |
| AWM Embarkation Roll number | 8/4/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Documents - Official Record
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