| Regimental number | 4695 |
| Place of birth | Walton England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 3 Mitchell Street Blues Point Road, North Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs F E Cowan, 3 Mitchell Street Blues Point Road, North Sydney, New South Wales |
| Enlistment date | 1 February 1916 |
| Rank on enlistment | Acting Sergeant |
| Unit name | 17th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 13 April 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Returned to Australia 16 September 1919 |
