| Regimental number | 2403 |
| Place of birth | Malvern, Victoria |
| Religion | Church of England |
| Occupation | Builder |
| Address | Malvern, Victoria |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Beatrice Coates, 'Traralgon', Malvern Road, Malvern, Victoria |
| Enlistment date | |
| Rank on enlistment | 2nd Air Mechanic |
| Unit name | October 1917 Reinforcements |
| AWM Embarkation Roll number | 8/15/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Flying Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
