| Regimental number | 4403 |
| Place of birth | Queenstown, South Australia |
| Religion | Methodist |
| Occupation | Driver |
| Address | Victoria Street, Queenstown, South Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Mary Ann Coggins, Victoria Street, Queenstown, South Australia |
| Enlistment date | 4 January 1916 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/44/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A9 Shropshire on 25 March 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 27th Battalion |
| Fate | Returned to Australia 15 May 1919 |
