| Regimental number | 1291 |
| Place of birth | Campbelltown New South Wales |
| Religion | Church of England |
| Occupation | Driver |
| Address | Haberfield, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs Margaret Theresa Fowler, 'Dorrita', Marion and Ramsay Streets, Haberfield, New South Wales |
| Enlistment date | 29 September 1915 |
| Rank on enlistment | Trooper |
| Unit name | Australian Remount Unit 2, Squadron 5 |
| AWM Embarkation Roll number | 28/3/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 10 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Remount Unit |
| Fate | Returned to Australia 29 April 1916 |
