| Regimental number | 4492 |
| Place of birth | Chatham England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Cootamundra, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Sister, Miss G W Fisheniden, Lockyer Street, Mannamead, England |
| Enlistment date | 26 October 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A62 Wandilla on 3 February 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 12 May 1918 |