| Regimental number | 11822 |
| Place of birth | Launceston, Tasmania |
| Religion | Methodist |
| Occupation | Iron moulder |
| Address | 15 High Street, Carlton, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs M Coombs, 15 High Street, Carlton, Victoria |
| Enlistment date | 16 August 1915 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 4, Reinforcement 3 |
| AWM Embarkation Roll number | 13/32/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 January 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 2nd Division Ammunition Column |
| Fate | Returned to Australia 15 May 1919 |
