| Regimental number | 66964 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Ferry hand |
| Address | 68 Alexander Street, Crow's Nest, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs E McCowen, 68 Alexander Street, Crow's Nest, Sydney, New South Wales |
| Previous military service | 5th Australian Army Medical Corps |
| Enlistment date | 20 July 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 23 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Wyreema on 14 October 1918 |
| Rank from Nominal Roll | Private |