| Regimental number | 5064 |
| Place of birth | Charters Towers Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Charters Towers, Queensland |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs S Coffey, Friezland, Queensland |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Star Of Victoria on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Machine Gun Company |
| Fate | Returned to Australia |
| Other details |
War service: Western Front |