| Regimental number | 2184 |
| Place of birth | Pennsylvania USA |
| Religion | Church of England |
| Occupation | Barman |
| Address | Main avenue, Frewville, South Australia |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs. Lavinia Ellen Pride Coulter, Main avenue, Frewville, South Australia |
| Enlistment date | 29 October 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, 15th Reinforcement |
| AWM Embarkation Roll number | 10/14/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A68 Anchises on 16 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Light Horse Regiment |
| Fate | Returned to Australia 12 November 1917 |