| Regimental number | 11568 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Engineer's fitter |
| Address | Palmer Street, Darlinghurst, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs M Cooper, 15 Avon Street, Glebe Point, Sydney, New South Wales |
| Enlistment date | 23 October 1915 |
| Rank on enlistment | Gunner |
| Unit name | Divisional Ammunition Column 2, Reinforcement 3 |
| AWM Embarkation Roll number | 25/90/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT RMS Osterley on 15 January 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 2nd Division Ammunition Column |
| Fate | Returned to Australia 1 July 1919 |
