| Regimental number | 1363 |
| Place of birth | Walhalla, Victoria |
| Religion | Church of England |
| Occupation | Stationers assistant |
| Address | 19 Merri Street, East Brunswick, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Maria Coates, 19 Merri Street, East Brunswick, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 2, Brigade Ammunition Column |
| AWM Embarkation Roll number | 13/30/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A27 Southern on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 2nd Field Artillery Brigade |
| Recommendations (Medals and Awards) |
Military Medal Recommendation date: |
| Fate | Returned to Australia |