| Regimental number | 4027 |
| Place of birth | Greater Yarmouth England |
| Religion | Church of England |
| Occupation | Hotel employee |
| Address | 92 Bondi Road, Waverley, New South Wales |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs M V Fisher, 26 Quay Street, North Brisbane, Queensland |
| Enlistment date | 15 September 1915 |
| Date of enlistment from Nominal Roll | 27 September 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/20/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 30 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 20 November 1918 |
