| 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 | 26 May 1917 |
| 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 8 May 1918 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 35th Battalion |
| Fate | Returned to Australia 22 July 1919 |
| Date of death | 12 September 1947 |
| Place of burial | Grafton Cemetery |