| Regimental number | 12293 |
| Place of birth | Ballarat Victoria |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 1007 South Street, Ballarat, Victoria |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs J L Fishwick, 1007 South Street, Ballarat, Victoria |
| Enlistment date | |
| Rank on enlistment | Sergeant |
| Unit name | Field Ambulance 10 |
| AWM Embarkation Roll number | 26/53/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 10th Field Ambulance |
| Fate | Returned to Australia |
| Medals |
Decoration Militaire (Belgium) Source: 'Commonwealth Gazette' No. 110 Date: |