| Regimental number | 410 |
| Place of birth | Gunnedah New South Wales |
| Religion | Roman Catholic |
| Occupation | Carter |
| Address | c/o Mrs A Lafoe, Lower Street, Tamworth, New South Wales |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs Florence Jane Cooper, c/o Mrs A Lafoe, Lower Street, Tamworth, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, B Company |
| AWM Embarkation Roll number | 23/53/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 36th Battalion |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 219 Date: |
| Date of death | |
| Place of burial | Rookwood Necropolis |