| Regimental number | 3773 |
| Place of birth | Mucking, Essex, England |
| Place of birth | Mucking Ford, Essex, England |
| School | Church School, Mucking, Ford, Essex, England |
| Age on arrival in Australia | 25 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Newcastle, New South Wales |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Sister, Mrs Nora Warren, 3 Washington Road, London, England |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 56th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/73/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 56th Battalion |
| Other details from Roll of Honour Circular | Died of T.B. |
| Fate | Died of disease |
| Place of death or wounding | Suton , Salisbury |
| Age at death | 34 |
| Age at death from cemetery records | 34 |
| Place of burial | Sutton Veny (St. John) Churchyard (Plot 325, Row D, Grave No. 15), Wiltshire |
| Panel number, Roll of Honour, Australian War Memorial | 162 |
| Miscellaneous information from cemetery records | Parents: James Alfred and Mary Ann FORDHAM |