| Regimental number | 2361 |
| Place of birth | Corowa, New South Wales |
| Religion | Roman Catholic |
| Occupation | Horse breaker |
| Address | Prahran, Victoria |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Wife, Mrs Edith Coleman, 37 Alfred Street, Prahran, Victoria |
| Enlistment date | 31 March 1917 |
| Place of enlistment | Rutherglen, Victoria |
| Rank on enlistment | Corporal |
| Unit name | 13th Light Horse Regiment, 19th Reinforcement |
| AWM Embarkation Roll number | 10/18/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 4 August 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |