| Regimental number | 3869 |
| Place of birth | Gosford New South Wales |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Rappville, New South Wales |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Father, J. Owen, Rappville, New South Wales |
| Enlistment date | 14 September 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/26/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A50 Itonus on 30 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 7 June 1918 |
