
| Regimental number | 3512 |
| Place of birth | Carlton Victoria |
| Religion | Church of England |
| Occupation | Woolworker |
| Address | 449 Gore Street, Fitzroy, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Amy Cooper, 449 Gore Street, Fitzroy, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/39/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A19 Afric on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 59th Battalion |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 109 Date: |