| Regimental number | 486 |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Upper Sturt, South Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Clara Coates, Willowbrook, Upper Sturt, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 11th Light Horse Regiment, C Squadron |
| AWM Embarkation Roll number | 10/16/1 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A7 Medic on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
