| Regimental number | 1908 |
| Place of birth | Wentworth New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Murray Bridge, South Australia |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Mary Fordham, Wyatt Street, off Grenfell Street, Adelaide, South Australia |
| Enlistment date | 17 March 1916 |
| Rank on enlistment | Private |
| Unit name | 50th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/67/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A48 Seang Bee on 13 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 50th Battalion |
| Fate | Returned to Australia 18 October 1917 |
| Date of death | 25 January 1973 |
