| Regimental number | 3017 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Bathurst, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, Samuel George Coffey, 41 Carlingford Street, Bathurst, New South Wales |
| Enlistment date | 17 July 1916 |
| Rank on enlistment | Private |
| Unit name | 58th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/75/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A19 Afric on 3 November 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |