| Regimental number | 25393 |
| Religion | Church of England |
| Occupation | Stockman |
| Address | 'Croydon', Napier Street, Cottesloe, Western Australia |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs A Cooper, Shamrock Grove Avenue, Yeovil, Somerset, England |
| Enlistment date | 7 February 1916 |
| Rank on enlistment | Gunner |
| Unit name | Divisional Ammunition Column 3, Reinforcement 1 |
| AWM Embarkation Roll number | 25/91/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A37 Barambah on 27 June 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
