| Regimental number | 3686 |
| Place of birth | Heaford Lincolnshire England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Ashfield, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Sister, Mrs Emily Amelia Fisher, 4 Victoria Terrace, Victoria Street, Doncaster, Yorkshire, England |
| Enlistment date | 28 November 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 14/13/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 January 1917 |
