| Religion | Church of England |
| Occupation | Clerk and salesman |
| Address | 'Kanimbla', Ben Boyd Road, Neutral Bay, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Mabel Cooper, 'Kanimbla', Ben Boyd Road, Neutral Bay, New South Wales |
| Enlistment date | 4 July 1915 |
| Rank on enlistment | Private |
| Unit name | AMC Convalescent Depot |
| AWM Embarkation Roll number | 26/84/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 14 July 1915 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A67 Orsova on 22 July 1915 |
| Rank from Nominal Roll | Warrant Officer (Class I) |
| Unit from Nominal Roll | 2nd Australian General Hospital |
| Fate | Returned to Australia 4 June 1919 |
