| Regimental number | 20683 |
| Place of birth | Castlemaine Victoria |
| Religion | Church of England |
| Occupation | Mercer |
| Address | Kalgoorlie, Western Australia |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs A Coolledge, 1050 Hay Street, Perth, Western Australia |
| Enlistment date | 15 February 1916 |
| Date of enlistment from Nominal Roll | 7 February 1916 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 10 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Field Ambulance |
| Fate | Returned to Australia 1 June 1919 |
