| Regimental number | 1833 |
| Place of birth | Myrrhee Victoria |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Myrrhee South, Victoria |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs Catherine Forge, Myrrhee South, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 37th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/54/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 37th Battalion |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in Victorian Garden of Remembrance |
| Date of death |