| Regimental number | 15604 |
| Place of birth | Cooma New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Bemboka, South Coast, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, J Coffey, Bishop Street, Singleton, New South Wales |
| Enlistment date | 21 August 1915 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 11, Reinforcement 2 |
| AWM Embarkation Roll number | 13/38/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 14 April 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 4th Division Ammunition Column |
| Fate | Returned to Australia 8 April 1917 |