| Regimental number | 21736 |
| Place of birth | Horsham, Victoria |
| Religion | Salvation Army |
| Occupation | Salvation Army officer |
| Address | P O Natimuk, Natimuk, Victoria |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs S Bowden, c/o R S Smith sen, Yangan, Queensland |
| Enlistment date | 23 February 1918 |
| Place of enlistment | Ballarat, Victoria |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 25 September 1919 |
