| Regimental number | 19777 |
| Religion | Church of England |
| Occupation | Dentist |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Mother, Mrs R H Fareday, Hobart, Tasmania |
| Enlistment date | 22 June 1916 |
| Rank on enlistment | Staff Sergeant |
| Unit name | Dental Details |
| AWM Embarkation Roll number | 26/105/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Gaika on 30 July 1918 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | Dental Corps |
| Fate | Returned to Australia 1 June 1919 |
