| Regimental number | 20927 |
| Place of birth | Richmond Victoria |
| Religion | Church of England |
| Occupation | Railway employee |
| Address | Burnley, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Marie Cunliffe Fellows, 3 Survey Street, Burnley, Victoria |
| Previous military service | 56th Infantry |
| Enlistment date | 26 June 1917 |
| Rank on enlistment | Sapper |
| Unit name | |
| AWM Embarkation Roll number | 22/13/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 21 November 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 3rd Divisional Signal Company |
| Fate | Returned to Australia 22 July 1919 |
