| Regimental number | 62550 |
| Place of birth | Second Valley South Australia |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Willaston, South Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, S G Fairlie, Willaston, South Australia |
| Previous military service | 48th Infantry |
| Enlistment date | 22 June 1918 |
| Rank on enlistment | Private |
| Unit name | 6th General Service Reinforcements |
| AWM Embarkation Roll number | 23/111/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A36 Boonah on 22 October 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |