| Regimental number | 537 |
| Place of birth | Nelligen New South Wales |
| Religion | Roman Catholic |
| Occupation | Plumber |
| Address | 3 Jarocan Aveue, Glebe,Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs Ellen cooper, 3 Jarocan Aveue, Glebe,Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Light Horse Regiment, C Squadron |
| AWM Embarkation Roll number | 10/17/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 12th Light Horse Regiment |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 119 Date: |