| Regimental number | 30188 |
| Place of birth | Waverly New South Wales |
| Religion | Church of England |
| Occupation | Bank clerk |
| Address | Upper Avenue Road, Mosman, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, B Cooper, Upper Avenue Road, Mosman, Sydney, New South Wales |
| Previous military service | 17th Infantry |
| Enlistment date | 4 September 1916 |
| Date of enlistment from Nominal Roll | 4 July 1916 |
| Rank on enlistment | Driver |
| Unit name | Reinforcement 11 |
| AWM Embarkation Roll number | 13/33/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 9 November 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 5th Field Artillery Brigade |
| Fate | Returned to Australia 20 August 1917 |
