| Regimental number | 4702 |
| Place of birth | Gawler, South Australia |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Boulder, Western Australia |
| Marital status | Widower |
| Age at embarkation | 45 |
| Next of kin | Mother, Mrs Elizabeth Coles, Kilkenny via Port Adelaide, South Australia |
| Enlistment date | 29 February 1916 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A60 Aeneas on 17 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 27 July 1917 |
