| Regimental number | 15466 |
| Place of birth | Lydney England |
| Religion | Church of England |
| Occupation | Shop assistant |
| Address | Cooroy, Queensland |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs A M Fisher, 'Sunnyside', Cwmbran, Monmouthshire, England |
| Enlistment date | 22 February 1916 |
| Rank on enlistment | Private |
| Unit name | September 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Effective abroad (still overseas) |
