| Regimental number | 40 |
| Place of birth | Townsville Queensland |
| Religion | Church of England |
| Occupation | Carter |
| Address | Duke Street, Thompson Estate, South Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mr John Cooper, Duke Street, Thompson Estate, South Brisbane, Queensland |
| Previous military service | 24th A A S C |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | 5th Company Army Service Corps, 1st Light Horse Brigade Train |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board Omrah on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 3rd Field Artillery Brigade |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
