| Regimental number | 8591 |
| Place of birth | Coburg, Victoria |
| Religion | Roman Catholic |
| Occupation | Mill hand |
| Address | Barrabupp, via Nannup, Western Australia |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs Jane Coffey, Barrabupp, via Nannup, Western Australia |
| Enlistment date | 16 August 1915 |
| Rank on enlistment | Private |
| Unit name | Australian Stationary Hospital 2, Reinforcement 13 |
| AWM Embarkation Roll number | 26/71/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A30 Borda on 17 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Field Ambulance |
| Fate | Returned to Australia 26 September 1917 |
