| Regimental number | 3086 |
| Place of birth | Middleton England |
| Religion | Church of England |
| Occupation | Gardener |
| Address | Belmont, Wheatley Road, Ormond, Victoria |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs N Cooper, 196 Rochdale Road, Middleton, Lancashire, England |
| Enlistment date | 10 July 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/22/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Osterley on 29 September 1915 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 57th Battalion |
| Fate | Returned to Australia 28 December 1917 |
