| Regimental number | 3004 |
| Place of birth | Sydney, New South Wales |
| Religion | Church of England |
| Occupation | Crane driver and fireman |
| Address | 'The Nook', Thornleigh Road, Beecroft, New South Wales |
| Marital status | Married |
| Age at embarkation | 46 |
| Next of kin | Wife, Mrs R Cooper, 'The Nook', Thornleigh Road, Beecroft, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | April 1918 Reinforcements |
| AWM Embarkation Roll number | 15/9/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 5th Broad Gauge Railway Operating Company |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
