| Regimental number | 7484 |
| Place of birth | Fitzroy Victoria |
| Religion | Church of England |
| Occupation | Carrier |
| Address | Collingwood, Victoria |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs E F Fordham, 31 Rupert Street, Collingwood, Victoria |
| Enlistment date | 14 August 1917 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 25th Reinforcement |
| AWM Embarkation Roll number | 23/25/6 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 21 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Machine Gun Battalion |
| Fate | Returned to Australia 25 March 1919 |
