| Regimental number | 17142 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Henry Street, West Kogarah, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, R T Fisher, Henry Street, West Kogarah, New South Wales |
| Previous military service | 33rd Infantry |
| Enlistment date | 17 January 1916 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 11, Reinforcement 3 |
| AWM Embarkation Roll number | 13/38/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 5 June 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 4th Field Artillery Brigade |
| Fate | Returned to Australia 12 December 1918 |
