| Regimental number | 4029 |
| Place of birth | Bolton England |
| Religion | Church of England |
| Occupation | Cafe manager |
| Address | 'Amyville', Hynton Street, Manly, New South Wales |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs Amy Fordham, 42 Hordern Street, Newtown, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/47/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Woronora Crematorium |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
