| Regimental number | R2222 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Hobart, Tasmania |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs R Cooper, Cascade Road, Hobart, Tasmania |
| Enlistment date | 28 May 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Hobart, Tasmania, on board HMAT A70 Ballarat on 8 August 1916 |
| Regimental number from Nominal Roll | 2222 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 12 May 1919 |
