| Regimental number | 2495 |
| Place of birth | Coghill's Creek Victoria |
| Religion | Church of England |
| Occupation | Blacksmith |
| Address | Middle Park, Victoria |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs kate Housten Coulson, 26 Harold Street, Middle Park, Victoria |
| Enlistment date | 1 August 1917 |
| Rank on enlistment | Private |
| Unit name | 13th Light Horse Regiment, 21st Reinforcement |
| AWM Embarkation Roll number | 10/18/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 21 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Light Horse Regiment |
| Fate | Returned to Australia 7 July 1919 |
