| Regimental number | 786 |
| Place of birth | Leeds, England |
| Religion | Methodist |
| Occupation | Orchardist |
| Address | Thulimbah, Southern Line, Queensland |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Mother, Mrs Sarah Elizabeth Fearnside, 12 Sholebroke Terrace, Leeds, Yorkshire, England |
| Enlistment date | 21 December 1915 |
| Place of enlistment | Warwick, Queensland |
| Rank on enlistment | Private |
| Unit name | 42nd Battalion, D Company |
| AWM Embarkation Roll number | 23/59/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 5 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 41st Battalion |
| Fate | Returned to Australia 12 June 1919 |