| Regimental number | 59291 |
| Place of birth | St Peters New South Wales |
| Religion | Church of England |
| Occupation | Brickmaker |
| Address | Surry Hills, New South Wales |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs C Bowen, 22 Belvoir Street, Surry Hills, New South Wales |
| Enlistment date | 30 May 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 12 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 July 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Division Train |
| Fate | Returned to Australia 1 August 1919 |
