| Regimental number | 2069 |
| Place of birth | Bendigo Victoria |
| Religion | Baptist |
| Occupation | Poultry breeder |
| Address | White Hill, Bendigo, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Mary Ann Fasham, White Hill, Bendigo, Victoria |
| Enlistment date | 16 June 1916 |
| Date of enlistment from Nominal Roll | 7 June 1916 |
| Rank on enlistment | Private |
| Unit name | 38th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/55/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 25 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 38th Battalion |
| Fate | Returned to Australia 12 May 1919 |
