| Regimental number | 2633 |
| Place of birth | Richmond Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Coal Street, Goulburn, New South Wales |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs Grace A Coulson, Coal Street, Goulburn, New South Wales |
| Enlistment date | 6 May 1916 |
| Rank on enlistment | Private |
| Unit name | 55th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/72/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Returned to Australia 23 June 1919 |
