| Regimental number | 4396 |
| Place of birth | Wallaroo South Australia |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Wallaroo, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Sarah Georgina Coward, Hay Street, Wallaroo, South Australia |
| Enlistment date | 6 January 1916 |
| Rank on enlistment | Private |
| Unit name | 32nd Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/49/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A19 Afric on 7 November 1916 |
| Miscellaneous details (Nominal Roll) | missing page |
