| Regimental number | 6739 |
| Place of birth | Essex, England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Maryborough Road, South Bundaberg, Queensland |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs S Shelly, 16 Morley Street South Lambeth Road, London SW, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Parents: John COOPER and Susan GREEN (as stated on Roll of Honour records) |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Date of death | |
| Age at death | 40 |
| Place of burial | Nanago Cemetery, Queensland |