| Regimental number | 1874A |
| Religion | Church of England |
| Occupation | Driver |
| Address | Richmond, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Luci Coffee, 9 Wertheim Street, Richmond, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 46th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/63/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on |