| Regimental number | 1012 |
| Place of birth | Lachlan New South Wales |
| Religion | Church of England |
| Occupation | Shearer |
| Address | Nyngan, New South Wales |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Mother, Mrs Elizabeth Fowke, Nyngan PO, Nyngan, New South Wales |
| Enlistment date | 3 February 1916 |
| Rank on enlistment | Private |
| Unit name | May 1916 Reinforcements |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Morea on 27 May 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 14th Light Horse Regiment |
| Fate | Returned to Australia 24 July 1919 |