| Regimental number | 6055 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Telephone linesman |
| Address | Alexander Road, Bickford, Western Australia |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs Daisy Mabel Coates, 644 Newcastle Street, Leederville, Western Australia |
| Enlistment date | 17 July 1916 |
| Date of enlistment from Nominal Roll | 20 June 1916 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A8 Argyllshire on 9 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 15 November 1917 |