| Regimental number | 19516 |
| Place of birth | Ballarat Victoria |
| Religion | Roman Catholic |
| Occupation | Clerk |
| Address | Albert Park, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, J E L Fairless, 61 St Vincent Place South, Albert Park, Victoria |
| Enlistment date | 16 July 1917 |
| Date of enlistment from Nominal Roll | 9 May 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, October 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Ormonde on 7 March 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Light Horse Field Ambulance |
| Fate | Effective abroad (still overseas) |