| Regimental number | 2174 |
| Place of birth | Merrimba |
| Religion | Church of England |
| Occupation | Grazier |
| Address | 'Santa Paula', Warren, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs. Mary Jane Fisher, 'Santa Paula,' Warren, New South Wales |
| Enlistment date | 15 November 1915 |
| Rank on enlistment | Private |
| Unit name | 6th Light Horse Regiment, 15th Reinforcement |
| AWM Embarkation Roll number | 10/11/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A4 Pera on 22 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Light Horse Regiment |
| Fate | Returned to Australia 9 June 1916 |
