| Regimental number | 616 |
| Place of birth | Tunbridge Wells England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | South Borough, Kent, England |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Harry Coulstock, 82 Springfield Road, South Borough, Kent, England |
| Enlistment date | 21 November 1914 |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 1st Reinforcement |
| AWM Embarkation Roll number | 10/12/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on 19 December 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Field Artillery Brigade |
| Fate | Discharged 11 March 1919 |
