
| Regimental number | 2052 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Millhill, Warwick, Queensland |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs Ellen Cooper, Prestwich, Sandgate near Brisbane, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 42nd Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/59/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A46 Clan Macgillivray on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 219 Date: |