| Regimental number | 3367 |
| Place of birth | Paignton England |
| Religion | Protestant |
| Occupation | Labourer |
| Address | Geraldton, Western Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs F L Fairweather, Holne near Ashburton, Devon, England |
| Enlistment date | 4 August 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/29/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A24 Benalla on 1 November 1915 |
| Regimental number from Nominal Roll | 3367A |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 12th Field Artillery Brigade |
| Fate | Returned to Australia 25 September 1919 |