| Regimental number | 21271 |
| Place of birth | Denman New South Wales |
| Religion | Church of England |
| Occupation | Telegraphist |
| Address | West Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs Elizabeth Christian Coughlan, P O Residence, Ashfield, New South Wales |
| Enlistment date | 20 June 1917 |
| Rank on enlistment | Sapper |
| Unit name | Cavalry Divisional Signal Squadron 1, Reinforcement 3 |
| AWM Embarkation Roll number | 22/33/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 2 February 1918 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 1st Wireless Signal Squadron |
| Fate | Returned to Australia 22 March 1919 |
