| Regimental number | 1896 |
| Place of birth | Bristol, England |
| Religion | Church of England |
| Occupation | Salesman |
| Address | 13 Goodwood Road, Wayville, SA |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Alice Maud Coulthard, 13 Goodwood Road, Wayville, SA |
| Enlistment date | |
| Place of enlistment | Adelaide, South Australia |
| Rank on enlistment | Private |
| Unit name | 50th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/67/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A48 Seang Bee on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 50th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
