| Regimental number | 5350 |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Castlereagh via Penrith, New South Wales |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs L M Coats, Riverleigh, Castlereagh via Penrith, New South Wales |
| Enlistment date | 13 September 1915 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/30/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
