| Regimental number | 1004 |
| Place of birth | Corowa, New South Wales |
| Religion | Presbyterian |
| Occupation | Grocer |
| Address | Edward Street, Corowa, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | E D Coleman, Edward Street, Corowa, New South Wales |
| Enlistment date | 5 January 1915 |
| Place of enlistment | Rutherglen, Victoria |
| Rank on enlistment | Private |
| Unit name | 8th Light Horse Regiment, 6th Reinforcement |
| AWM Embarkation Roll number | 10/13/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A66 Uganda on 21 June 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
