| Regimental number | 12 |
| Place of birth | Depford, England |
| Religion | Church of England |
| Occupation | Labourer |
| Marital status | Divorced |
| Age at embarkation | 38 |
| Next of kin | Daughter, Miss Ethel May, Coughlan, c/o Industrial School, Caversham, New Zealand |
| Enlistment date | 19 August 1914 |
| Place of enlistment | Morphettville, South Australia |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, Machine Gun Section |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board Transport A11 Ascanius on 20 October 1914 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia 23 May 1917 |
