| Regimental number | 415 |
| Religion | Church of England |
| Occupation | Benchman |
| Address | East Kirup, Western Australia |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs. B. Cooper, Acland Street, St. Kilda, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, D Company |
| AWM Embarkation Roll number | 23/28/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A11 Ascanius on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
