| Regimental number | 5009 |
| Place of birth | Upper Sturt, South Australia |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Cherry Gardens, South Australia |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs L Coates, Cherry Gardens, South Australia |
| Enlistment date | 9 July 1917 |
| Rank on enlistment | Private |
| Unit name | 32nd Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/49/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 22 December 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 32nd Battalion |
| Fate | Returned to Australia 6 November 1918 |