| Regimental number | 563 |
| Place of birth | Roebourne, Western Australia |
| Religion | Church of England |
| Occupation | Engine driver |
| Address | 133 Victoria parade, Collingwood |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs Alice Coffen, 133 Victoria Parade, Collingwood |
| Enlistment date | 2 December 1914 |
| Rank on enlistment | Corporal |
| Unit name | 24th Battalion, B Company |
| AWM Embarkation Roll number | 23/41/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 10 May 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 24th Battalion |
| Fate | Returned to Australia 21 January 1916 |
