| Regimental number | 1013 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Grenfall, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Margaret Fowler, Grenfall, Southern Line, New South Wales |
| Enlistment date | 2 February 1916 |
| Date of enlistment from Nominal Roll | 9 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 | Private |
| Unit from Nominal Roll | 14th Light Horse Regiment |
| Fate | Returned to Australia 24 July 1919 |