| Regimental number | 6144 |
| Place of birth | Geelong Victoria |
| Religion | Roman Catholic |
| Occupation | Cook |
| Address | Loch, South Gippsland, Victoria |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Mother, Mrs. C. Fowler, 442 Madeline Street, Carlton, Victoria |
| Enlistment date | 21 February 1916 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/23/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Battalion |
| Fate | Returned to Australia 23 May 1917 |