| Regimental number | 3409 |
| Place of birth | Grafton New South Wales |
| Religion | Church of England |
| Occupation | Driver |
| Address | 65 Flinders Street, Darlinghurst, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | nephew, G Cooper, 255 Bourke Street, Darlinghurst, New South Wales |
| Enlistment date | 9 August 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/19/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 2 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 53rd Battalion |
| Fate | Returned to Australia 15 January 1919 |
