| Regimental number | 16478 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Plumber |
| Address | Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs Florence Cooper, 765 Main Street, Kangaroo Point, Brisbane, Queensland |
| Enlistment date | 8 April 1916 |
| Rank on enlistment | Driver |
| 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 | Private |
| Unit from Nominal Roll | 15th Field Company Engineers |
| Fate | Returned to Australia 1 February 1918 |
