| Regimental number | 4114 |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Upper Belmore River, Gladstone, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, W A Fisher, 48 Evelyn Street, Deptford, London, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on |