| Regimental number | 5237 |
| Place of birth | Hobart, Tasmania |
| Religion | Church of England |
| Occupation | Bootmaker |
| Address | 41 Ware Street, Hobart, Tasmania |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs C Cooper, 39 Ware Street, Hobart, Tasmania |
| Enlistment date | 2 December 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on 29 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 52nd Battalion |
| Fate | Returned to Australia 27 August 1917 |