| Regimental number | 16536 |
| Place of birth | Auckland, New Zealand |
| Religion | Church of England |
| Occupation | Carpenter and joiner |
| Address | Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs Elizabeth Sophia Forbes, 'Rewa Moana,' Kawhia, Auckland, New Zealand |
| Enlistment date | 16 October 1916 |
| Place of enlistment | Sydney, New South Wales |
| Rank on enlistment | Sapper |
| Unit name | December 1916 Reinforcements |
| AWM Embarkation Roll number | 14/42/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 2 December 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 1st Field Company Engineers |
| Fate | Returned to Australia 20 December 1917 |
