| Regimental number | 1921 |
| Place of birth | Norwood South Australia |
| Religion | Church of England |
| Occupation | Miner |
| Address | Orient Street, Mitcham, South Australia |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs Violet Evelyn Fisher, 'Dumlona,' John Street, Eastwood, South Australia |
| Enlistment date | 20 May 1915 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/44/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Morea on 26 August 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 27th Battalion |
| Fate | Returned to Australia 28 January 1916 |