| Regimental number | 7854A |
| Place of birth | Waratah Tasmania |
| Religion | Methodist |
| Occupation | Blacksmith |
| Address | Zeehan, Tasmania |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, T Coventry, 126 Main Street, Zeehan, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | No 1 Australian General Hospital |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board A62 Wandilla on |
| Miscellaneous details (Nominal Roll) | see other |