| Regimental number | 4627 |
| Place of birth | Mossvale New South Wales |
| Religion | Methodist |
| Occupation | Railway porter |
| Address | Argyle Street Moss Vale, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, A Fordnam, Argyle Street, Moss Vale, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Rookwood Crematorium |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
