| Regimental number | 69354 |
| Place of birth | Allansford Victoria |
| Religion | Presbyterian |
| Occupation | Carpenter |
| Address | Jamieson Street, Warrnambool, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs M A Fotheringham, Jamieson Street, Warrnambool, Victoria |
| Previous military service | 46th Battery Australian Field Artillery |
| Enlistment date | 1 August 1918 |
| Date of enlistment from Nominal Roll | 13 November 1916 |
| Rank on enlistment | Private |
| Unit name | 17th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 2 November 1918 |
| Regimental number from Nominal Roll | 3149 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 58th Battalion |
| Fate | Returned to Australia 7 February 1919 |
