| Regimental number | 2163 |
| Place of birth | Maidstone England |
| Religion | Church of England |
| Occupation | Miner |
| Address | 35 Vivian Street, Boulder City, Western Australia |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs Catherine Bowen, 35 Vivian Street, Boulder City, Western Australia |
| Enlistment date | 21 December 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 15th Reinforcement |
| AWM Embarkation Roll number | 10/15/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A38 Ulysses on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Light Horse Regiment |
| Fate | Returned to Australia 1 January 1919 |
