| Regimental number | 4397 |
| Place of birth | Halifax England |
| Religion | Methodist |
| Occupation | Painter |
| Address | 230 a'Beckett Street, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Mother, Mrs Grace Coombes, 18 Ashley Street, Halifax, York, England |
| Enlistment date | 29 January 1916 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/39/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT RMS Orontes on 29 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Returned to Australia 29 May 1919 |