| Regimental number | 3293 |
| Place of birth | Ashton On Ure England |
| Religion | Church of England |
| Occupation | Seaman |
| Address | Wollongong, New South Wales |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs J H Cooper, Kembla Street, Wollongong, New South Wales |
| Enlistment date | 5 August 1915 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/30/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A17 Port Lincoln on 13 October 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
