| Regimental number | 6054 |
| Place of birth | Busselton Western Australia |
| Religion | Roman Catholic |
| Occupation | Sleeper cutter |
| Address | Donnybrook, Western Australia |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs Mary Cooper, Newlands via Donnybrook, Western Australia |
| Enlistment date | 17 July 1916 |
| Date of enlistment from Nominal Roll | 1 June 1916 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A8 Argyllshire on 9 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Veterinary Hospital |
| Fate | Returned to Australia 19 April 1919 |