| Regimental number | 5357 |
| Place of birth | Armadale, Victoria |
| Religion | Church of England |
| Occupation | Wool sorter |
| Address | Merrilands, 42 Mt Pleasant Grove, Armadale, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Height | 5' 6.5" |
| Weight | 128 lbs |
| Next of kin | Mother, Mrs A Coburn, Merrilands, 42 Mt Pleasant Grove, Armadale, Victoria |
| Previous military service | Served for 2 years in the Citizen Military Forces. |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Place of enlistment | Prahran, Victoria |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/25/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on |
| Regimental number from Nominal Roll | 5357A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Field Ambulance |
| Fate | Returned to Australia |
| Discharge date | |
| Other details |
War service: Egypt, Western Front Embarked Alexandria to join the British Expeditionary Force, 21 June 1916; disembarked Marseilles, France, 30 June 1916. Commenced return to Australia on board HT 'Konigen Luise', 21 June 1919; disembarked Melbourne, 18 August 1919; discharged (termination of period of enlistment), Melbourne, 5 October 1919. Medals: British War Medal, Victory Medal |
| Miscellaneous details | Occupation incorrectly listed on Embarkation Roll as wood sorter. |