| Regimental number | 65962 |
| Place of birth | Erskineville New South Wales |
| Religion | Roman Catholic |
| Occupation | Blacksmith's striker |
| Address | Glen Innes, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, W K Coughlan, Church Street, Glen Innes, New South Wales |
| Enlistment date | 9 May 1918 |
| Rank on enlistment | Private |
| Unit name | 16th to 27th (NSW) Reinforcement |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A41 Bakara on 4 September 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 8 July 1919 |
