| Regimental number | 1004 |
| Place of birth | Murrumburrah New South Wales |
| Religion | Church of England |
| Occupation | Railway station master |
| Address | 43 Henson Street, Summer Hill, New South Wales |
| Marital status | Widower |
| Age at embarkation | 41 |
| Next of kin | F Cooper, 43 Henson Street, Summer Hill, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 4, Section A |
| AWM Embarkation Roll number | 26/47/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A35 Berrima on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 2nd Australian Light Railway Operating Company |
| Fate | Returned to Australia |
| Other details |
War service: re-enlisted, 15 September 1917; re-embarked from Melbourne on HMAT A71 'Nestor' on 28 February 1918, as No. 2553 Sergeant, December 1917 Reinforcements. Medals: 1914-15 Star, British War Medal, Victory Medal |