| Regimental number | 3167 |
| Place of birth | Bexley England |
| Religion | Church of England |
| Occupation | Baker |
| Address | Grantham, Queensland |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Mother, Mrs Sarah Ann Fairman, 14 Watling Street, Kent, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 49th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/66/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 49th Battalion |
| Fate | Discharged |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
