| Regimental number | 19259 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Student |
| Address | Clovelly, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, A N Coates, Andrew Street, Clovelly, New South Wales |
| Enlistment date | 15 May 1916 |
| Rank on enlistment | Private |
| Unit name | Dental Details |
| AWM Embarkation Roll number | 26/105/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A73 Commonwealth on 2 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | A.A.D.S. |
| Fate | Returned to Australia 17 July 1919 |