| Regimental number | 4415 |
| Place of birth | Euroa Victoria |
| Religion | Presbyterian |
| Occupation | Signwriter |
| Address | 171 West Street, North Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs M Fowler, 322 Lennox Street, Richmond, Victoria |
| Enlistment date | 3 January 1916 |
| Rank on enlistment | Acting Corporal |
| Unit name | 17th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 10 July 1916 |
