| Regimental number | 2001 |
| Religion | Church of England |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, H Coulson, Sculcoals, Hull, Yorkshire, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Field Ambulance, Reinforcement 2 |
| AWM Embarkation Roll number | 26/45/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on |
| Miscellaneous details (Nominal Roll) | see other |