| Religion | Church of England |
| Occupation | Surgeon |
| Address | Tizzana Vineyward via Windsor, New South Wales |
| Marital status | Married |
| Age at embarkation | 62 |
| Next of kin | Wife, Mrs A Fiaschi, Tizzana Vineyward via Windsor, New South Wales |
| Previous military service | Australian Army Medical Corps |
| Enlistment date | 1 May 1915 |
| Rank on enlistment | Colonel |
| Unit name | 3rd Australian General Hospital |
| AWM Embarkation Roll number | 26/67/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on 15 May 1915 |
| Miscellaneous details (Nominal Roll) | see other |
