| Regimental number | 3136 |
| Date of birth | |
| Place of birth | Spring Hill, New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Stabback Street, Millthorpe, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs M A Coppock, Stabback Street, Millthorpe, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/21/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Machine Gun Battalion |
| Fate | Returned to Australia |
| Other details |
War Service: France, Western Front Wounded in France on 16 August 1916 and hospitalised at Boulogne in a Canadian hospital |
| Date of death | |
| Age at death | 97 |
| Place of burial | Manildra Cemetery, New South Wales |