| Regimental number | 4367 |
| Religion | Presbyterian |
| Occupation | Grocer |
| Address | Randwick, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Fischer, Fisher Street, Lower Randwick, New South Wales |
| Previous military service | 6th Australian Army Medical Corps |
| Enlistment date | 2 May 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Australian General Hospital |
| AWM Embarkation Roll number | 26/67/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on 15 May 1915 |
| Miscellaneous details (Nominal Roll) | see other |