| Regimental number | 13365 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Motor mechanic |
| Address | Eureka Street, Kelvin Grove, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Emily Cooper, Eureka Street, Kelvin Grove, Brisbane, Queensland |
| Enlistment date | 3 February 1916 |
| Rank on enlistment | Driver |
| Unit name | Auxiliary Mechanical Transport Company 3, Head-Quarters |
| AWM Embarkation Roll number | 25/113/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A34 Persic on 22 December 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | SMTO |
| Fate | Returned to Australia 9 July 1919 |