| Regimental number | 2406 |
| Place of birth | Ballarat, Victoria |
| Religion | Church of England |
| Occupation | Hammer press driver |
| Address | 9 Field Street, Ballarat, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Elizabeth Cooper, 9 Field Street, Ballarat, Victoria |
| Enlistment date | 25 September 1916 |
| Rank on enlistment | Private |
| Unit name | 39th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/56/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on 20 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Light Trench Mortar Battery |
| Fate | Returned to Australia 11 May 1919 |
