| Regimental number | 34636 |
| Occupation | Cyclemaker |
| Next of kin | Mother, Mrs A J Cooper, 87 Retreat Road, Avonside, Canterbury |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 20th Reinforcements, Canterbury Infantry Battalion, C Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 71 Port Lyttelton on |
| Final rank | Private |
| Final unit | 1st (Canterbury) Company, 2nd Battalion, Canterbury Infantry Regiment |
| Fate | Died of disease |
| Age at death from cemetery records | 27 |
| Place of burial | Tidworth Military Cemetery (Section C, Grave No 394), Wiltshire, England |
| Miscellaneous information from cemetery records | Parents: Matthew Charles and Ada Jane Cooper, 83 Smith Street, Woolston, Christchurch |
| Sources | Nominal Roll Vol. 2: Roll 47, p. 8 |