| Regimental number | 71 |
| Place of birth | Cardiff New South Wales |
| Religion | Methodist |
| Occupation | Student |
| Address | Queen's College, Parkville, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Aunt, Mrs Mary Couch, Roseland, St Germans, Cornwell, England |
| Enlistment date | 10 May 1915 |
| Rank on enlistment | Private |
| Unit name | |
| AWM Embarkation Roll number | 26/84/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Mooltan on 18 May 1915 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 11th Field Ambulance |
| Recommendations (Medals and Awards) |
Military Medal
Recommendation date:
12 April 1918
|
| Fate | Returned to Australia 23 September 1919 |
