| Regimental number | 5480 |
| Place of birth | Nottingham England |
| Religion | Church of England |
| Occupation | Miner |
| Address | 25 Forrest Street, Kalgoorlie, Western Australia |
| Marital status | Married |
| Age at embarkation | 45 |
| Next of kin | Wife, Mrs A Cooper, 25 Forrest Street, Kalgoorlie, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A60 Aeneas on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
