| Regimental number | 54900 |
| Place of birth | Broadford Victoria |
| Religion | Presbyterian |
| Occupation | Railway porter |
| Address | Broadford, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, H W Fothergill, Pinneger Street, Broadford, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 4th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Mechanical Transport Company |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
