| Regimental number | 5991 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Storeman |
| Address | 73 Lower Fort Street, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs I Cooper, Wellington Street, Rozelle, New South Wales |
| Enlistment date | 19 January 1916 |
| Date of enlistment from Nominal Roll | 13 January 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 22 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia 1 July 1919 |
