| Regimental number | 4611 |
| Place of birth | Adelaide, South Australia |
| Religion | Church of England |
| Occupation | Student |
| Address | St Helens, Prospect, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Sister, Miss E G Bowen C/o F Bullock, St Helens, Prospect, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A28 Miltiades on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 10th Battalion |
| Promotions |
2nd Lieutenant Unit: INF10 Promotion date: Lieutenant Unit: INF10 Promotion date: |
| Fate | Returned to Australia |
| Miscellaneous details (Nominal Roll) | *Date of fate needs checking as overtyped on NR |