| Regimental number | 12836 |
| Place of birth | Brompton, South Australia |
| Religion | Methodist |
| Occupation | Chemist |
| Address | Chief Street, Brompton, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs H A Coombe, Chief Street, Brompton, South Australia |
| Previous military service | 31st Australian Army Medical Corps |
| Enlistment date | 2 December 1915 |
| Rank on enlistment | Private |
| Unit name | 11th Field Ambulance |
| AWM Embarkation Roll number | 26/54/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A29 Suevic on 31 May 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 11th Field Ambulance |
| Fate | Returned to Australia 12 June 1919 |
