| Regimental number | 2124 |
| Place of birth | Bramham |
| Age on arrival in Australia | 20 |
| Religion | Church of England |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Mrs S Concom, 26 Stanthorpe Road, Wheatley Doncaster Yorkshire, England |
| Previous military service | Nil |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A63 Karoola on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Killed in Action |
| Place of death or wounding | France |
| Age at death | 35 |
| Age at death from cemetery records | 35 |
| Place of burial | Dickebusch New Military Cemetery (Row L, Grave No. II), Belgium |
| Panel number, Roll of Honour, Australian War Memorial | 75 |
| Miscellaneous information from cemetery records | Parents: John and Susan COULTAS, 26 Stanthorpe Road, Wheatley, Doncaster, Yorks, England. Native of Bramham, England |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
