| Regimental number | 292 |
| Place of birth | Adelaide South Australia |
| Religion | Presbyterian |
| Occupation | Manager |
| Address | Angaston, South Australia |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs. A.S. Fotheringham, Magill, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, B Squadron |
| AWM Embarkation Roll number | 10/8/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A17 Port Lincoln on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 4th Division Artillery |
| Promotions |
2nd Lieutenant Unit: ART FA Reinf Promotion date: |
| Recommendations (Medals and Awards) |
Criox de Guerre (Awarded) Recommendation date: |
| Fate | Returned to Australia |
| Medals |
Croix de Guerre (Belgium) Source: 'Commonwealth Gazette' No. 185 Date: |