| Regimental number | 62540 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Painter |
| Address | Adelaide, South Australia |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs F A Cooper, 211 Wright Street, Adelaide, South Australia |
| Enlistment date | 3 July 1918 |
| Rank on enlistment | Private |
| Unit name | 6th General Service Reinforcements |
| AWM Embarkation Roll number | 23/111/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A36 Boonah on 22 October 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
