| Regimental number | 19532 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Merriden, Western Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs M M Fosser, Box 39 P O Merriden, Merriden, Western Australia |
| Enlistment date | 4 September 1917 |
| Date of enlistment from Nominal Roll | 30 July 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, October 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on 5 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Field Ambulance |
| Fate | Returned to Australia 23 July 1919 |
