| Regimental number | 21045 |
| Place of birth | Charters Towers Queensland |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Natal Downs Road, Charters Towers, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, R Couch, Natal Downs Road, Charters Towers, Queensland |
| Enlistment date | 15 November 1915 |
| Rank on enlistment | Shoeing Smith |
| Unit name | 9th Field Artillery Brigade, 35th Battery |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board H.M.A.T. A8 Argyllshire on 11 May 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 12th Field Artillery Brigade |
| Fate | Returned to Australia 12 May 1919 |
