| Regimental number | 3401 |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Cowangie, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, F C L Coulliard, St Heliers, Jersey Island, England |
| Enlistment date | 19 July 1915 |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/24/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 11 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Battalion |
| Fate | Returned to Australia 3 July 1919 |
