| Regimental number | 3045 |
| Place of birth | Kyneton Victoria |
| Religion | Roman Catholic |
| Occupation | Foreman |
| Address | Footscray, Victoria |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs Kate Coulson, Cnr Ann Street, and Geelong Road, footscray, Victoria |
| Enlistment date | 12 January 1917 |
| Rank on enlistment | Private |
| Unit name | 39th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/56/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 19 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 39th Battalion |
| Fate | Returned to Australia 27 August 1917 |