| Regimental number | 9519 |
| Place of birth | Gatton Queensland |
| Religion | Church of England |
| Occupation | Locomotive cleaner |
| Address | Wynnum South, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs F Fisher, Mary Street, Wynnum South, Queensland |
| Previous military service | ALH |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | MED26.65.3R15 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Australian Auxiliary Hospital |
| Fate | Effective abroad (still overseas) |