| Regimental number | 1616 |
| Place of birth | Coraki New South Wales |
| Religion | Church of England |
| Occupation | Sawyer |
| Address | Sheehy Street, Glebe Point, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Ellen Fogwell, Sheehy Street, Glebe Point, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/6/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | a Prov C |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
