| Regimental number | 1083 |
| Place of birth | Bland New South Wales |
| Religion | Roman Catholic |
| Occupation | Farmer |
| Address | c/o Mr Thos. Fisher, Widallion via Young, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, Thos. Fisher, Widallion via Young, New South Wales |
| Enlistment date | 11 June 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Light Horse Regiment, 5th Reinforcement |
| AWM Embarkation Roll number | 10/17/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A32 Themistocles on 5 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Light Horse Regiment |
| Fate | Returned to Australia 20 July 1919 |