| Regimental number | 3045 |
| Place of birth | Ballarat, Victoria |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Brunswick, Victoria |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs Vaurna B Cooper, 19 Davison Street, Brunswick, Victoria |
| Enlistment date | 3 January 1917 |
| Rank on enlistment | Private |
| Unit name | 38th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/55/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 19 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 38th Battalion |
| Fate | Returned to Australia 4 July 1919 |