| Regimental number | 4114 |
| Place of birth | Fitzroy Victoria |
| Religion | Roman Catholic |
| Occupation | Blacksmith |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Fanny Forde, 15 Moore Street, Fitzroy, Melbourne, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 14th Field Artillery Brigade |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
