| Regimental number | 2174 |
| Religion | Roman Catholic |
| Occupation | Mine trucker |
| Address | 42 Forrest Street, Boulder City, Western Australia |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs Coffey, 42 Forest Street, Boulder City, Western Australia |
| Enlistment date | 5 January 1916 |
| Date of enlistment from Nominal Roll | 6 January 1916 |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 15th Reinforcement |
| AWM Embarkation Roll number | 10/15/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A38 Ulysses on 1 April 1916 |
| Regimental number from Nominal Roll | 2174A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Machine Gun Squadron |
| Fate | Returned to Australia 10 July 1919 |
