| Regimental number | 18641 |
| Place of birth | London England |
| Religion | Roman Catholic |
| Occupation | Patrolman |
| Address | South Kensington, New South Wales |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs M Fowler, 'Kildare', Forsyth Street, South Kensington, New South Wales |
| Enlistment date | 23 March 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, August 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on 9 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Field Ambulance |
| Fate | Returned to Australia 16 June 1919 |
