| Regimental number | 2113 |
| Place of birth | Norwood South Australia |
| Religion | Roman Catholic |
| Occupation | Wharf labourer |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs Alice Evelyn Fairclough, Carlisle Street, Clanville, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/29/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | West Terrace Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
