| Regimental number | 12 |
| Place of birth | Carrington, New South Wales |
| Religion | Church of England |
| Occupation | Biscuitmaker |
| Address | 171 Darby Street, Coke's Hill, Newcastle, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Alice Cooper, 171 Darby Street, Coke's Hill, Newcastle, New South Wales |
| Enlistment date | |
| Place of enlistment | Sydney, New South Wales |
| Rank on enlistment | Private |
| Unit name | 1st Field Ambulance, A Squadron |
| AWM Embarkation Roll number | 26/44/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A14 Euripides on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Miscellaneous information from cemetery records | Plaque in New South Wales Garden of Remembrance |
| Date of death |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
