| Religion | Church of England |
| Occupation | Medical practitioner |
| Address | Ashfield, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, A Fisher, Loftus Street, Ashfield, New South Wales |
| Enlistment date | |
| Rank on enlistment | Captain |
| Unit name | 3rd Australian General Hospital |
| AWM Embarkation Roll number | 26/67/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on |
| Miscellaneous details (Nominal Roll) | see other |