| Regimental number | 6815 |
| Religion | Church of England |
| Occupation | Mechanical engineer |
| Address | Geelong, Victoria |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs Emily Ellen Forbes, 39 Gledhill Street, Salford, Manchester, England |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/38/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |