| Regimental number | 3043 |
| Place of birth | North Shields England |
| Religion | Methodist |
| Occupation | Painter |
| Address | 'Bagshot', Northcote Street, Naremburn, North Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Father, J Coates, 18 Withycombe Road, Exmouth, Devon, England |
| Enlistment date | 9 August 1915 |
| Rank on enlistment | Acting Corporal |
| Unit name | 19th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic on 20 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 2 April 1919 |
