| Regimental number | 16180 |
| Place of birth | Cardiff Wales |
| Religion | Church of England |
| Occupation | Mechanical engineer |
| Address | Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs Florence Coulson, 'Bocklesby', Denison Street, Waverley, Sydney, New South Wales |
| Enlistment date | 8 May 1916 |
| Date of enlistment from Nominal Roll | 24 April 1916 |
| Rank on enlistment | Sapper |
| Unit name | November 1916 Reinforcements |
| AWM Embarkation Roll number | 14/42/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic on 11 November 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 4th Field Company Engineers |
| Fate | Returned to Australia 18 January 1919 |
