| Regimental number | 6610 |
| Place of birth | Gunneslake England |
| Religion | Methodist |
| Occupation | Miner |
| Address | Kalgoorlie PO, Kalgoorlie, Western Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Fanny Cooper, Woodvilla Delaware Road near Gunnislakem, Cornwall, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/33/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A23 Suffolk on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Light Trench Mortar Battery |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
