| Place of birth | Swansea, Wales |
| Religion | Church of England |
| Occupation | Medical practitioner |
| Address | Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 53 |
| Next of kin | Wife, Mrs B F Couch, c/o Charles Hodd and Co, William Street, Perth, Western Australia |
| Enlistment date | 11 June 1917 |
| Rank on enlistment | Captain |
| Unit name | Medical Officers |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 3 September 1917 |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | Australian Army Medical Corp |
| Fate | Returned to Australia 18 January 1918 |
