| Regimental number | 5352 |
| Place of birth | Queanbeyan New South Wales |
| Occupation | Labourer |
| Address | Queanbeyan, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs A I Coppin, Queanbeyan, New South Wales |
| Enlistment date | 17 October 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A49 Ceramic on 14 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Machine Gun Battalion |
| Fate | Returned to Australia 15 January 1919 |