| Regimental number | 26922 |
| Place of birth | Brompton South Australia |
| Religion | Methodist |
| Occupation | Farmer |
| Address | 12 James Street, Southwark, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs E Forbes, 12 James Street, Southwark, South Australia |
| Enlistment date | 20 March 1916 |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 15, Reinforcement 5 |
| AWM Embarkation Roll number | 13/42/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A15 Port Sydney on 7 September 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 7th Field Artillery Brigade |
| Fate | Returned to Australia 27 April 1919 |
