| Regimental number | 54902 |
| Place of birth | Coburg Victoria |
| Religion | Methodist |
| Occupation | Farm hand |
| Address | Longwarry PO, Longwarry, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, A Forbes, Longwarry PO, Longwarry, Victoria |
| Enlistment date | 8 March 1918 |
| Date of enlistment from Nominal Roll | 7 March 1918 |
| 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 5 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 58th Battalion |
| Fate | Returned to Australia 19 August 1919 |