| Regimental number | 3649 |
| Place of birth | Collingwood Victoria |
| Religion | Methodist |
| Occupation | Grinder |
| Address | 8 Power Street, North Williamstown, Victoria |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs Jean Hudson Coxon, 69 Leicester Street, North Fitzroy, Victoria |
| Enlistment date | 7 February 1917 |
| Rank on enlistment | Private |
| Unit name | 2nd Pioneer Battalion, Reinforcement 9 |
| AWM Embarkation Roll number | 14/14/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 11 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Pioneer Battalion |
| Fate | Returned to Australia 10 January 1918 |