| Regimental number | 15266 |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Lake Boga, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Ida Couche, Marion Place, Prospect, Adelaide, South Australia |
| Enlistment date | 16 July 1915 |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 13, Reinforcement 3 |
| AWM Embarkation Roll number | 13/40/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A35 Berrima on 4 July 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 3rd Field Artillery Brigade |
| Fate | Returned to Australia 1 November 1917 |
