| Regimental number | 6508 |
| Place of birth | Kapunda South Australia |
| Religion | Church of England |
| Occupation | Horse driver |
| Address | Herbert Street, Franklin near Alberton, South Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs M Fisher, Herbert Street, Franklin near Alberton, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A16 Port Melbourne on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Recommendations (Medals and Awards) |
Military Medal Work near Bray on 22 August 1918. Recommendation date: |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 109 Date: |