| Regimental number | 51004 |
| Place of birth | Glen Innes New South Wales |
| Religion | Church of England |
| Occupation | Telephonist |
| Address | Lismore, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, A A Fowler, Taylor Street, Glen Innes, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 1 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 35th Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Grafton Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
