| Regimental number | 6534 |
| Place of birth | Ashfield New South Wales |
| Religion | Methodist |
| Occupation | Hospital attendant |
| Address | Sunnycorner, New South Wales |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs E E Couchman, Sunnycorner, New South Wales |
| Enlistment date | 21 May 1915 |
| Rank on enlistment | Private |
| Unit name | Infantry Brigade 4, Field Ambulance 5, Reinforcement 7 |
| AWM Embarkation Roll number | 26/48/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on 11 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Field Ambulance |
| Fate | Returned to Australia 12 May 1918 |
| Date of death | 13 September 1956 |
| Place of burial | Rookwood Crematorium |
