| Regimental number | 11057 |
| Place of birth | Richmond, Tasmania |
| Religion | Church of England |
| Occupation | Hospital attendant |
| Address | New Norfolk, Tasmania |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs M Cooley, Humphrey Street, New Norfolk, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, April 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A66 Uganda on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
