| Regimental number | 19586 |
| Religion | Church of England |
| Occupation | Horse trainer |
| Address | Eskdale Road, Caulfield, Victoria |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs N L Cooper, 16 Brunswick Street South, East Melbourne, Victoria |
| Enlistment date | 7 July 1915 |
| Rank on enlistment | SGT (A V C) |
| Unit name | Field Artillery Brigade 8, Head-Quarters |
| AWM Embarkation Roll number | 13/36/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 20 May 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
