| Regimental number | 4783 |
| Place of birth | South Melbourne Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Carrathool, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Uncle, Mr. Henry Forbes, Narrandera, New South Wales |
| Enlistment date | 26 November 1915 |
| Date of enlistment from Nominal Roll | 25 November 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on 8 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Effective abroad (still overseas) |