| Regimental number | 763 |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Railway Heights, Casino, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, Edwin Cooper, Railway Heights, Casino, New South Wales |
| Enlistment date | 14 December 1914 |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 3rd Reinforcement |
| AWM Embarkation Roll number | 10/7/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A53 Itria on 9 February 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
