| Regimental number | 19686 |
| Place of birth | Bellingen New South Wales |
| Religion | Presbyterian |
| Occupation | Carpenter |
| Address | Bellinger River, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, A Fowler, Kalang, Bellinger River, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Carpentaria on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in New South Wales Garden of Remembrance |
| Date of death | |
| Age at death | 73 |
| Place of burial | Taree Cemetery, New South Wales |