| Regimental number | 3050 |
| Place of birth | Swan Hill, Victoria |
| Religion | Roman Catholic |
| Occupation | Boundary rider |
| Address | Swan Hill, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Uncle, Edward P Cooper, 64 Gibdon Street, Burnley, Victoria |
| Enlistment date | 28 August 1916 |
| Date of enlistment from Nominal Roll | 28 August 1916 |
| Rank on enlistment | Private |
| Unit name | 8th Light Horse Regiment, 23rd Reinforcement |
| AWM Embarkation Roll number | 10/13/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A25 Anglo-Egyptian on 31 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Machine Gun Squadron |
| Fate | Returned to Australia 10 July 1919 |
