| Regimental number | 358 |
| Place of birth | Everton Victoria |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Benalla, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, Robert Wm Cooper, Benalla, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, B Company |
| AWM Embarkation Roll number | 23/38/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Field Ambulance |
| Recommendations (Medals and Awards) |
Military Medal Recommendation date: |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 119 Date: |
| Date of death | |
| Place of burial | Springvale Cemetery |