| Regimental number | 3830 |
| Religion | Church of England |
| Occupation | Greengrocer |
| Address | 17 James Street, Newtown, New South Wales |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs E M Fairburn, 6 James Street, Newtown, New South Wales |
| Enlistment date | 19 October 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 20 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 2 January 1919 |
