| Regimental number | 3661 |
| Place of birth | Rawden New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Leichhardt, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs S A Cooper, Alpine via Colo Vale, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Camel Corps, July 1917 Reinforcements |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Darwin on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Machine Gun Squadron |
| Fate | Died of disease |
| Place of burial | Port Said War Memorial Cemetery (Row H, Grave No. 20), Egypt |
| Panel number, Roll of Honour, Australian War Memorial | 180 |