| Regimental number | 6821 |
| Place of birth | New Town Tasmania |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Hobart, Tasmania |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs L P Cooper, Glenorchy, Tasmania |
| Enlistment date | 26 June 1916 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 20 June 1919 |
