| Regimental number | 1926 |
| Place of birth | Perth, Western Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Cousin, Miss E Cooper, Brighton Tea Gardens, Brighton, Victoria |
| Enlistment date | 26 October 1914 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/22/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 17 April 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia 13 February 1917 |
