| Regimental number | 76 |
| Place of birth | Young New South Wales |
| Religion | Church of England |
| Occupation | Fireman |
| Address | Paddington, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, Samuel Fowler, Wyong, New South Wales |
| Previous military service | 9th Australian Army Medical Corps |
| Enlistment date | 20 December 1916 |
| Rank on enlistment | Private |
| Unit name | Section 1 |
| AWM Embarkation Roll number | 15/9/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 50th Rwy Company |
| Fate | Returned to Australia 3 May 1919 |
