| Regimental number | 5390 |
| Place of birth | Cumberland England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Gwalia, Western Australia |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs I Fisher, Burnfield Farm, Millom Cumberland, England |
| Enlistment date | 19 January 1916 |
| Date of enlistment from Nominal Roll | 19 July 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A60 Aeneas on 17 April 1916 |
| Regimental number from Nominal Roll | 2390 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 24 January 1919 |