| Regimental number | 20815 |
| Place of birth | Ipswich Queensland |
| Religion | Church of England |
| Occupation | Telegraphist |
| Address | Ipswich, Queensland |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Mother, Mrs Jemina Fairley, Delacy Street, North Ipswich, Queensland |
| Enlistment date | 5 October 1916 |
| Rank on enlistment | Sapper |
| Unit name | |
| AWM Embarkation Roll number | 22/17/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on 19 December 1917 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 1st Signal Squadron Engineers |
| Fate | Returned to Australia 17 July 1919 |
