| Regimental number | 7620 |
| Religion | Church of England |
| Occupation | Soldier |
| Address | Kangaroo Point, Queensland |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs. A.E. Cooper, Thorn Street, Kangaroo Point, Brisbane, Queensland |
| Enlistment date | 27 September 1916 |
| Rank on enlistment | PRQMS WO11 |
| Unit name | 9th Battalion, 25th Reinforcement |
| AWM Embarkation Roll number | 23/26/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 14 June 1917 |
| Rank from Nominal Roll | PROV QMS WO (Class II) |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Effective abroad (still overseas) |
