| Regimental number | 274 |
| Place of birth | Mount Morgan Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 44 Moonee Street, Ascot Vale, Victoria |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs Mabel Coates, 44 Moonee Street, Ascot Vale, Victoria |
| Enlistment date | 19 October 1914 |
| Date of enlistment from Nominal Roll | 19 October 1914 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, B Company |
| AWM Embarkation Roll number | 23/32/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A40 Ceramic on 22 December 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 25 August 1917 |
