| Regimental number | 1217 |
| Place of birth | Palmerston North, New Zealand |
| Religion | Church of England |
| Occupation | Hospital orderley |
| Address | Ellis Coffee Palace, Wellington Street, Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Albert Cowper, Orma Down Estate, New Zealand |
| Enlistment date | |
| Place of enlistment | Blackboy Hill, Western Australia |
| Rank on enlistment | Lance Corporal |
| Unit name | Australian Stationary Hospital 2 |
| AWM Embarkation Roll number | 26/71/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board Transport A55 Kyarra on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 2nd Australian Stationary Hospital |
| Fate | Returned to Australia |
| Miscellaneous details (Nominal Roll) | *Noted COWPER Carlton Eversleigh NR |
| Medals |
Meritorious Service Medal Source: 'Commonwealth Gazette' No. 61 Date: |