| Regimental number | 6741 |
| Place of birth | Gympie, Queensland |
| Religion | Methodist |
| Occupation | Clerk |
| Address | Deagon, Sandgate, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs M A E Cowan, Deagon Railway Station, Sandgate, Queensland |
| Enlistment date | 17 July 1916 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on 17 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 7 July 1919 |
