| Regimental number | 6090 |
| Religion | Church of England |
| Occupation | Tailor |
| Address | Kingswood, South Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs A Fisher, Balkam Street, Kingswood, South Australia |
| Enlistment date | 24 May 1915 |
| Rank on enlistment | Private |
| Unit name | 1 Australian General Hospital 1-6 Special Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 11 October 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
