| Regimental number | 5819 |
| Place of birth | Leichhardt New South Wales |
| Religion | Roman Catholic |
| Occupation | Sawyer |
| Address | 15 Justin Street, Lilyfield, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Amy Fisher, 15 Justin Street, Lilyfield, New South Wales |
| Enlistment date | 1 May 1916 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/34/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 20 November 1918 |
