| Regimental number | 54176 |
| Place of birth | Wellington New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Bodangora near Wellington, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, J Cooper, Bodangora near Wellington, New South Wales |
| Enlistment date | 18 April 1918 |
| Rank on enlistment | Private |
| Unit name | 6th General Service Reinforcements (New South Wales) |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Feldmarschall on 19 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Infantry Base Depot |
| Fate | Returned to Australia 23 July 1919 |