| Regimental number | 5681 |
| Place of birth | Forbes New South Wales |
| Religion | Church of England |
| Occupation | Tailor |
| Address | 19 Elsmere Street, Kensington, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs. K. Cowin, 19 Elsmere Street, Kensington, Sydney, New South Wales |
| Enlistment date | 20 January 1916 |
| Date of enlistment from Nominal Roll | 23 January 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 3 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 12 March 1918 |