| Regimental number | 3255 |
| Place of birth | Bundaberg Queensland |
| Religion | Church of England |
| Occupation | Soldier |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Sarah Coomber, Stoneleigh Street, Albion, Brisbane, Queensland |
| Previous military service | Instl Staff |
| Enlistment date | |
| Rank on enlistment | Sergeant |
| Unit name | 41st Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/58/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 115 Date: |