| Regimental number | 4693 |
| Place of birth | West Maitland New South Wales |
| Religion | Church of England |
| Occupation | Baker |
| Address | 73 Rocheford Street, Erskineville, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Brother, G Cooper, 73 Rocheford Street, Erskineville, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on |
| Regimental number from Nominal Roll | 4963 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Discharged |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
