| Regimental number | 15752 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Storekeeper |
| Address | Chinchilla, Queensland |
| Marital status | Widower |
| Age at embarkation | 48 |
| Next of kin | Daughter, Miss E B Cooper, c/o Mrs C A Bowring, Kennedy Terrace, Red Hill, Brisbane, Queensland |
| Enlistment date | 11 December 1915 |
| Rank on enlistment | Private |
| Unit name | October 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on 17 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Field Ambulance |
| Fate | Returned to Australia 31 January 1919 |
