| Regimental number | 596 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Steward |
| Address | 3 Royal Avenue off Gilles Street, Adelaide, South Australia |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs E R Coulter, c/o A G Dalwood, Chatham Road, Keswick, South Australia |
| Enlistment date | 5 May 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 6, Reinforcement 10 |
| AWM Embarkation Roll number | 24/11/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Omrah on 17 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Machine Gun Battalion |
| Fate | Returned to Australia 19 August 1919 |
