| Regimental number | 5374 |
| Place of birth | Colac Victoria |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Post Office, Cobrico, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, W Fish, Cobrico, Victoria |
| Enlistment date | 16 February 1916 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia 12 May 1919 |
