| Regimental number | 3173 |
| Place of birth | Donald, Victoria |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Swan Hill, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, Robert Coburn, Swan Hill, Victoria |
| Enlistment date | 18 October 1916 |
| Rank on enlistment | Private |
| Unit name | 8th Light Horse Regiment, 25th Reinforcement |
| AWM Embarkation Roll number | 10/13/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Karmala on 6 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Light Horse Regiment |
| Fate | Returned to Australia 15 February 1918 |