| Regimental number | 4263 |
| Place of birth | Botany New South Wales |
| Religion | Church of England |
| Occupation | Fitter's labourer |
| Address | c/o Mrs Bagge, Alice Street, Auburn, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Louisa Cowham, c/o Mrs Bagge, Alice Street, Auburn, Sydney, New South Wales |
| Enlistment date | 31 May 1916 |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/46/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A19 Afric on 3 November 1916 |
| Regimental number from Nominal Roll | 4263A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 46th Battalion |
| Fate | Returned to Australia 12 July 1919 |