| Regimental number | 4385 |
| Religion | Church of England |
| Occupation | Overseer of station |
| Address | Tummaville via Yandilla, Queensland |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, W H Fysh, Tummaville via Yandilla, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Australian General Hospital |
| AWM Embarkation Roll number | 26/67/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on |
| Miscellaneous details (Nominal Roll) | see other |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
