| Regimental number | 640 |
| Place of birth | Rochester, South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Adeline Hill, Kalgoorlie, Western Australia |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs E Cooper, Adeline Hill, Kalgoorlie, Western Australia |
| Enlistment date | 4 September 1914 |
| Date of enlistment from Nominal Roll | 15 August 1914 |
| Rank on enlistment | CPL (AAMC) |
| Unit name | 11th Battalion, Headquarters |
| AWM Embarkation Roll number | 23/28/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board Transport A11 Ascanius on 2 November 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 15 August 1915 |
