| Regimental number | 1029 |
| Religion | Protestant |
| Occupation | Carpenter |
| Address | 43 Millswyn Street, South Yarra, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, C J Cooper, Trafalgar, Gippsland, Victoria |
| Previous military service | 22nd Battery Australian Field Artillery |
| Enlistment date | 1 September 1914 |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 2, Battery 5 |
| AWM Embarkation Roll number | 13/30/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A9 Shropshire on 20 October 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
