| Regimental number | 4367 |
| Place of birth | Sydney New South Wales |
| Religion | Presbyterian |
| Occupation | Grocer |
| Address | 'Ellerslie', Fischer Street, Randwick, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Fischer, Fischer Street, Lower Randwick, New South Wales |
| Enlistment date | 2 May 1915 |
| Date of enlistment from Nominal Roll | 21 April 1915 |
| Rank on enlistment | Private |
| Unit name | No 3 Australian General Hospital |
| AWM Embarkation Roll number | 26/67/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on 15 May 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | No 3 Australian General Hospital |
| Fate | Returned to Australia 28 January 1916 |
