| Regimental number | 3374 |
| Place of birth | India |
| Religion | Church of England |
| Occupation | Hospital attendant |
| Address | Ballarat, Victoria |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs Sophia Cooper, 106 Clyde Street, Ballarat, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 57th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/74/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 57th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
