| Regimental number | 2786 |
| Place of birth | Esbank New South Wales |
| Religion | Church of England |
| Occupation | Locomotive engine driver |
| Address | Eskbank, New South Wales |
| Marital status | Widower |
| Age at embarkation | 32 |
| Next of kin | Mother, Mrs Coughlan, 107 Pitt Street, Redfern, New South Wales |
| Enlistment date | 27 January 1916 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/47/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia 10 March 1918 |