| Regimental number | 10697 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Dental mechanic |
| Address | Clovelly, New South Wales |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs D Coates, 'Bueno Vista', Andrew Street, Clovelly, New South Wales |
| Enlistment date | 24 March 1916 |
| Rank on enlistment | Staff Sergeant |
| Unit name | Dental Details |
| AWM Embarkation Roll number | 26/105/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 5 June 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | Dental Corps |
| Fate | Returned to Australia 24 December 1918 |
