| Regimental number | 2120 |
| Place of birth | Lidcombe New South Wales |
| Religion | Methodist |
| Occupation | School teacher |
| Address | Lidcombe, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Isabella Frances Couchman, Joseph Street, Lidcombe, Sydney, New South Wales |
| Previous military service | 29th Infantry |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 31st Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/48/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Field Ambulance |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
