| Regimental number | 3524 |
| Place of birth | Albert Park Victoria |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Macclesfield via Emerald, Victoria |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs Elizabeth Forder, Macclesfield via Emerald, Victoria |
| Enlistment date | 10 September 1915 |
| Date of enlistment from Nominal Roll | 12 February 1917 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/40/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A19 Afric on 5 January 1916 |
| Regimental number from Nominal Roll | 6935 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia 10 January 1918 |
