| Regimental number | 4841 |
| Place of birth | Port Pirie South Australia |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Port Pirie, South Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, J Owens, Port Pirie, South Australia |
| Enlistment date | 19 November 1915 |
| Date of enlistment from Nominal Roll | 9 November 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Mongolia on 9 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia 11 May 1917 |