| Regimental number | 4131 |
| Place of birth | Woolwich England |
| Religion | Church of England |
| Occupation | Miner |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Minnie Fisk, 2 Shatts Cottage Station, Abbey Wood, Kent, England |
| Enlistment date | 21 September 1915 |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/43/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A73 Commonwealth on 28 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Veterinary Corps |
| Fate | Discharged 7 May 1919 |
