| Regimental number | 13406 |
| Place of birth | Kapunda South Australia |
| Religion | Methodist |
| Occupation | Mason's labourer |
| Address | Franklin, via Alberton, South Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs M Fisher, Herbert Street, Franklin, via Alberton, South Australia |
| Enlistment date | 4 January 1916 |
| Rank on enlistment | Private |
| Unit name | March 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A61 Kanowna on 1 April 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 13th Field Ambulance |
| Fate | Returned to Australia 23 June 1919 |