| Regimental number | 2163 |
| Place of birth | Fitzroy Victoria |
| Religion | Church of England |
| Occupation | Motor mechanic |
| Address | Fitzroy, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Nellie Coulson, 53 Gore Street, Fitzroy, Victoria |
| Enlistment date | 23 April 1917 |
| Rank on enlistment | 2nd Air Mechanic |
| Unit name | July 1917 Reinforcements |
| AWM Embarkation Roll number | 8/15/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on 21 June 1917 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 4 August 1917 |
| 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 | Australian Flying Corps |
| Fate | nig No details enetered on Nominal |
