| Regimental number | 5676 |
| Place of birth | Dungog New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 84 Caledonia Street, Paddington, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Florence Coote, Grafton PO, Clarence River, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A52 Surada on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |