| Regimental number | 4468 |
| Place of birth | Parkham, Tasmania |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Conlan Street, Queenstown, Tasmania |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Brother, Mr G Coates, Smithton, Tasmania |
| Enlistment date | 6 October 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A69 Warilda on 8 February 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 52nd Battalion |
| Fate | Returned to Australia 4 May 1917 |