| Regimental number | 4703 |
| Place of birth | Caulfield Victoria |
| Religion | Methodist |
| Occupation | Labourer |
| Address | 108 O'Shannessy Street, North Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Margaret Fisk, 108 O'Shannessy Street, North Melbourne, Victoria |
| Enlistment date | 7 February 1916 |
| Date of enlistment from Nominal Roll | 24 January 1916 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/39/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Returned to Australia 29 May 1919 |
