| Regimental number | 2204 |
| Place of birth | Forbes New South Wales |
| Religion | Roman Catholic |
| Occupation | Farmer |
| Address | Peak Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, Ernest J Cooper, Peak Hill, New South Wales |
| Enlistment date | 20 August 1915 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/47/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A70 Ballarat on 16 February 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia 10 March 1918 |
