| Regimental number | 5696 |
| Place of birth | Chorley England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Thompson Road, North Fremantle, Western Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs M J Fairclough, Thompson Road, North Fremantle, Western Australia |
| Enlistment date | 15 March 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A31 Ajana on 15 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 10 December 1918 |
| Date of death | 18 May 1955 |
| Place of burial | Boulder Cemetery |
