| Regimental number | 505 |
| Religion | Church of England |
| Occupation | Commercial traveller |
| Address | Moss and George Streets, East Fremantle, Western Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs A Fordham, Moss and George Streets, East Fremantle, Western Australia |
| Previous military service | Royal Australian Garrison Artillery |
| Enlistment date | 1 July 1915 |
| Rank on enlistment | Gunner |
| Unit name | Siege Artillery Brigade Reinforcement 2 |
| AWM Embarkation Roll number | 13/49/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 8 November 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |