| Regimental number | 11516 |
| Place of birth | Bendigo, Victoria |
| Religion | Church of England |
| Occupation | Baker |
| Address | 49 Milroy Street, Bendigo, Victoria |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs A E Coates, 49 Milroy Street, Bendigo, Victoria |
| Enlistment date | 25 January 1916 |
| Rank on enlistment | Private |
| Unit name | Field Bakery 3 |
| AWM Embarkation Roll number | 25/40/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on 18 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Field Bakery |
| Fate | Returned to Australia 21 December 1918 |
