| Regimental number | 5314 |
| Place of birth | Rockhampton Queensland |
| School | State School, Rockhampton, QLD |
| Religion | Church of England |
| Occupation | Bootmaker |
| Address | Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Sarah Jane Coultis, King Street and Singal Road, Wynnum via Brisbane, Queensland |
| Previous military service | Morton Regt, Brisbane |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/42/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A50 Itonus on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 25th Battalion |
| Other details from Roll of Honour Circular | Died in 3rd London General Hospital, Wandworth. |
| Fate | Died of disease |
| Age at death | 46 |
| Age at death from cemetery records | 46 |
| Place of burial | Brookwood Military Cemetery (Plot XI, Row C, Grave No. 13), Surrey, England |
| Panel number, Roll of Honour, Australian War Memorial | 104 |
| Miscellaneous information from cemetery records | Parents: John and Eliza COULTIS; husband of Sarah Jane COULTIS, logan Road and Martin Street, South Brisbane. Native of Rockhampton, Queensland |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
