| Regimental number | 12967 |
| Place of birth | Brisbane Queensland |
| Religion | Methodist |
| Occupation | Health inspector |
| Address | Wilston, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Sarah Cooling 3rd Avenue, Wilston, Brisbane, Queensland |
| Enlistment date | 15 February 1916 |
| Rank on enlistment | Private |
| Unit name | Sanitary Section 3 |
| AWM Embarkation Roll number | 26/78/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on 18 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 2 August 1919 |