| Regimental number | 2363 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Wheelwright |
| Address | c/o C Quick, Hallsville,via Tamworth, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs E H Fellows, Brunswick Hill, Reading, Berkshire, England |
| Enlistment date | 27 May 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/21/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 14 July 1915 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 22 August 1919 |
