| Regimental number | 4752 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Bookkeeper |
| Address | Haberfield, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs E A Cooper, c/o L Watson, 'Rosedene', Branyon Street, West Bundaberg, Queensland |
| Enlistment date | 31 July 1916 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/47/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 January 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |