his wound, and then carried him to safety. For this action, Howse was awarded the Victoria Cross. The award was gazetted on 4 June 1901 and the original citation reads: He thus became the first recipient of the Victoria Cross serving in the Australian armed forces; his medal is on display at the Australian War Memorial in Canberra. Howse was subsequently promoted to captain on 15 October 1900. The Second Contingent left South Africa via Cape Town on 13 December 1900 on the S.S. Orient, however Howse had been invalided to Britain on 28 November 1900. Howse subsequently returned to Australia at the end of February 1901. Following the gazetting of his VC, Howse was presented with the medal in a ceremony at Victoria Barracks, Sydney on 4 December 1901. Also at the ceremony were Captain A. Heathcote and Sergeant J. Paton, prior recipients of the VC for actions during the Indian Rebellion of 1857, who had subsequently migrated to New South Wales. Howse returned to South Africa as a major with the Australian Army Medical Corps (AAMC) in command of the Bearer Company, arriving at Durban in Natal on 17 March 1902. Following service in Natal, Orange River Colony and Western Transvaal (attached to Colonel A.W. Thornycroft's Mounted Infantry Column), at the conclusion of the war he became seriously ill. He was again invalided to Britain on 6 July 1902, with the remainder of the AAMC contingent departing for Australia on 8 July 1902. Howse eventually returned to Australia in November 1902. In 1905 Howse married Evelyn Pilcher in Bathurst, and was twice elected to serve as mayor of the City of Orange. First World War When the First World War began, Howse was appointed principal medical officer to the Australian Naval and Military Expeditionary Force to German New Guinea, with the rank of lieutenant colonel. Following his time in New Guinea, he was appointed Assistant Director of Medical Services 1st Australian Division. During the Gallipoli campaign he took charge of evacuating wounded men from the beach in the campaign’s opening days. In 1917 at the Dardanelles commission, he described the arrangements for dealing with wounded men at Gallipoli as inadequate to the point of 'criminal negligence'. He was Mentioned in Despatches for his service in this campaign. In September 1915 he was given command of ANZAC medical services and in November became director of the AIF’s medical services,