| Regimental number | 397 |
| Place of birth | Mount Gambier South Australia |
| Religion | Protestant |
| Occupation | Labourer |
| Address | c/o Mrs Hammer, Commercial Street East, Mt Gambier, South Australia |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Brother, A C Couch, Mount Gambier, South Australia |
| Enlistment date | 24 August 1914 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, A Company |
| AWM Embarkation Roll number | 23/27/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board Transport A11 Ascanius on 20 October 1914 |
| Miscellaneous details (Nominal Roll) | missing page |
