| Regimental number | 10552 |
| Place of birth | Kangaroo Point Queensland |
| Religion | Church of England |
| Occupation | Masseur |
| Address | Kangaroo Point, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs A E Cooper, Thorn Street, Kangaroo Point, Brisbane, Queensland |
| Enlistment date | |
| Rank on enlistment | Staff Sergeant |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Morea on |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
