| Regimental number | 718 |
| Place of birth | Bulwarra New South Wales |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Bolwarrah, West Maitland, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs M E Cooper, Bolwarrah, West Maitland, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Machine Gun Company, 13th Reinforcements |
| Embarkation details | Unit embarked from Melbourne on board HMAT A29 Suevic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |