
| Occupation | Soldier |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs E H M Cooper, 24 Armedle Street, Fremantle, Western Australia |
| Rank on enlistment | 2nd Lieutenant |
| Unit name | No 6 Tunnelling Company |
| AWM Embarkation Roll number | 16/12/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A69 Warilda on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |