| Regimental number | 3709 |
| Place of birth | Bristol, England |
| Religion | Church of England |
| Occupation | Painter |
| Address | 41 Wangaratta Street, Richmond, Victoria |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs H Coombs, 41 Wangaratta Street, Richmond, Victoria |
| Enlistment date | 7 July 1915 |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/23/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on 23 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Battalion |
| Fate | Returned to Australia 13 March 1916 |
