| Regimental number | 1703 |
| Place of birth | Alby Hill England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Miles, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Ellen Cooper, Alby Hills, Oldborough, Norfolk, England |
| Enlistment date | 8 February 1916 |
| Rank on enlistment | Private |
| Unit name | 42nd Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/59/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 5 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 42nd Battalion |
| Fate | Returned to Australia 12 May 1918 |
