| Regimental number | 2782 |
| Place of birth | Cudgewa Victoria |
| Religion | Church of England |
| Occupation | Saddler |
| Address | c/o A Holms, Renwick Street, Marrickville, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Annie Coysh, Cudgewa, Victoria |
| Enlistment date | 13 September 1915 |
| Date of enlistment from Nominal Roll | 20 August 1915 |
| Rank on enlistment | Sapper |
| Unit name | 7th Field Company Engineers |
| AWM Embarkation Roll number | 14/26/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A23 Suffolk on 30 November 1915 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 7th Field Company Engineers |
| Fate | Returned to Australia 4 June 1919 |
