| Regimental number | 829 |
| Place of birth | Devonshire England |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs M Coombs, 172 Wittenoon Street, Perth, Western Australia |
| Enlistment date | 12 May 1915 |
| Date of enlistment from Nominal Roll | 5 March 1915 |
| Rank on enlistment | Private |
| Unit name | Hospital Transport Corps |
| AWM Embarkation Roll number | 26/104/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board RMS Mooltan on 24 May 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 4 July 1915 |
