| Regimental number | 4291 |
| Date of birth | |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Draughtsman |
| Address | Jersey Road, Artarmon, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs. A. Coombes, Jersey Road, Artarmon, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 2nd Battalion |
| Promotions |
2nd Lieutenant Unit: INF2 Promotion date: Lieutenant Unit: INF2 Promotion date: |
| Fate | Returned to Australia |