| Regimental number | 4395 |
| Place of birth | Charters Towers Queensland |
| Religion | Church of England |
| Occupation | Engine-driver |
| Address | Charter Towers, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Mary Coyte, c/o Garbutt Bros, Townsville, Queensland |
| Enlistment date | 4 October 1915 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Star of Victoria on 31 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 25th Battalion |
| Fate | Returned to Australia 30 January 1918 |
