| Regimental number | 7974 |
| Place of birth | Bath England |
| Religion | Church of England |
| Occupation | Cook |
| Address | Cannington, Western Australia |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs A Coulson, Crawford Road, Cannington, Western Australia |
| Enlistment date | 3 August 1917 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 27th Reinforcement |
| AWM Embarkation Roll number | 23/28/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A60 Aeneas on 30 October 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 21 July 1918 |
