| Regimental number | 22406 |
| Place of birth | Stockyard Creek, South Australia |
| Religion | Church of Christ |
| Occupation | Farm labourer |
| Address | Stockyard Creek, South Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs E Coombs, Stockyard Creek, South Australia |
| Previous military service | 23rd ALH |
| Enlistment date | 26 August 1915 |
| Rank on enlistment | Corporal |
| Unit name | Howitzer Brigade 23, Brigade Ammunition Column |
| AWM Embarkation Roll number | 13/133/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 20 May 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 3rd Field Artillery Brigade |
| Fate | Returned to Australia 20 April 1919 |
