| Regimental number | 1241 |
| Place of birth | Gawler South Australia |
| Religion | Church of England |
| Occupation | Station overseer |
| Address | 85 First Avenue, East Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Mother, Anne S. Fairey, 85 First Avenue, East Adelaide, South Australia |
| Enlistment date | 13 February 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 9th Reinforcement |
| AWM Embarkation Roll number | 10/6/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 30 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Divisional Ammunition Column |
| Fate | Returned to Australia 2 January 1919 |
