| Regimental number | 7559 |
| Place of birth | Quirindi New South Wales |
| Religion | Church of England |
| Occupation | General worker |
| Address | Manilla, New South Wales |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs J M Coulson, c/o Mrs H Perrin, Manilla Street, Manilla, New South Wales |
| Enlistment date | 15 August 1917 |
| Date of enlistment from Nominal Roll | 11 August 1917 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 25th Reinforcement |
| AWM Embarkation Roll number | 23/21/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 31 October 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 21 December 1918 |
