| Regimental number | 6029 |
| Place of birth | Robertson New South Wales |
| Religion | Church of England |
| Occupation | Hospital attendant |
| Address | c/o Mrs E Couper, George Street, Parramatta, New South Wales |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, L R Couper, c/o Mrs E Couper, George Street, Parramatta, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Australian General Hospital, Special Reinforcements |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A19 Runic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |