| Regimental number | 16522 |
| Place of birth | Goulburn New South Wales |
| Religion | Methodist |
| Occupation | Carpenter |
| Address | North Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs Mabel Cooper, Iona, Dalley Road, Naremburn, Sydney, New South Wales |
| Enlistment date | 16 October 1916 |
| Rank on enlistment | Sapper |
| Unit name | December 1916 Reinforcements |
| AWM Embarkation Roll number | 14/42/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 2 December 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 6th Field Company Engineers |
| Fate | Returned to Australia 30 January 1918 |
