| Regimental number | 4210 |
| Religion | Church of England |
| Occupation | Maltster |
| Address | 54 Smith Street, South Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs M Fischer, 54 Smith Street, South Melbourne, Victoria |
| Enlistment date | 31 July 1915 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/25/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A64 Demosthenes on 29 December 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |