| Regimental number | 695 |
| Place of birth | Hobart Tasmania |
| Religion | Methodist |
| Occupation | Dairyman |
| Address | Fordham, Tasmania |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, Arthur Zelious Fordham, West Devonport, Tasmania |
| Previous military service | 91st Infantry |
| Enlistment date | 8 December 1915 |
| Date of enlistment from Nominal Roll | 6 December 1915 |
| Rank on enlistment | Sergeant |
| Unit name | 40th Battalion, C Company |
| AWM Embarkation Roll number | 23/57/1 |
| Embarkation details | Unit embarked from Hobart, Tasmania, on board HMAT A35 Berrima on 1 July 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 40th Battalion |
| Fate | Returned to Australia 14 January 1919 |
