| Regimental number | 2098 |
| Place of birth | Newcastle New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Kurri Kurri, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, John Robert Fornear Couper, Gillie Street, Kurri Kurri, New South Wales |
| Previous military service | 4th AASC |
| Enlistment date | 18 December 1916 |
| Rank on enlistment | Private |
| Unit name | December 1916 Reinforcements |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Karmala on 3 February 1917 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 4th Light Horse Field Ambulance |
| Fate | Returned to Australia 20 July 1919 |
