| Regimental number | 65028 |
| Place of birth | Walsall England |
| Religion | Church of England |
| Occupation | Station hand |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, T Cooper, Barn Common near Walsace, Staffordshire, England |
| Enlistment date | 24 September 1918 |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 8 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Carpentaria on 7 November 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
