| Regimental number | 9616 |
| Place of birth | Mangrove Creek New South Wales |
| Religion | Church of England |
| Occupation | Orchardist |
| Address | 6 Oxford Street, Woollahra, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Annie Coleman, 6 Oxford Street, Woollahra, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Infantry Brigade 4, Field Ambulance 5, Reinforcement 10 |
| AWM Embarkation Roll number | 26/48/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
