| Regimental number | 169 |
| Place of birth | Bendigo, Victoria |
| Religion | Church of England |
| Occupation | Miner |
| Address | 25 Munster Terrace, North Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs Belinda Grace Eustace Coates, 25 Munster Terrace, North Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Pioneer Battalion, A Company |
| AWM Embarkation Roll number | 14/15/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Pioneer Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Fawkner Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
