| Regimental number | 3166 |
| Place of birth | St Helier England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Grant's Coffee Palace, Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs E Fitch, 26 Sands Street, St Heliers, Jersey, Channel Lslands, England |
| Enlistment date | 29 December 1914 |
| Date of enlistment from Nominal Roll | 30 December 1914 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/22/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Osterley on 29 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia 5 March 1919 |