| Regimental number | 13161 |
| Place of birth | Parroh Victoria |
| Religion | Presbyterian |
| Occupation | Surgical instrument maker |
| Address | North Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs E Cooper, 17 Walcott Street, North Perth, Western Australia |
| Enlistment date | 2 December 1915 |
| Date of enlistment from Nominal Roll | 29 November 1915 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A63 Karoola on 14 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian General Hospital |
| Fate | Returned to Australia 16 March 1919 |