| Regimental number | 2482 |
| Religion | Roman Catholic |
| Occupation | Slatelayer |
| Address | Adelaide, South Australia |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs Vivenne Anne Beel Coffey, 82 Finnis Street, North Adelaide, Unley, South Australia |
| Enlistment date | 28 January 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Pioneer Battalion, Reinforcement 4 |
| AWM Embarkation Roll number | 14/17/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A55 Itria on 14 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Pioneer Battalion |
| Fate | Returned to Australia 31 October 1917 |
