| Regimental number | 17879 |
| Place of birth | South Yarrah Victoria |
| Religion | Roman Catholic |
| Occupation | Railway employee |
| Address | South Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, J Coughlan, 412 Park Street, South Melbourne, Victoria |
| Previous military service | 13th Australian Army Medical Corps |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 14th Australian General Hospital, 1917 Egypt Reinforcements |
| AWM Embarkation Roll number | 26/101/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Light Horse Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
