| Regimental number | 4163 |
| Religion | Church of England |
| Occupation | Fireman |
| Address | Coomber Street, Wollongong, New South Wales |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs J H Cooper, Coomber Street, Wollongong, New South Wales |
| Enlistment date | 16 August 1915 |
| Date of enlistment from Nominal Roll | 5 August 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 20 December 1915 |
| Regimental number from Nominal Roll | 4163A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 13 February 1917 |