| Regimental number | 2661 |
| Place of birth | Echuca Victoria |
| Religion | Methodist |
| Occupation | Farm labourer |
| Address | Kotupna via Nathalia, Victoria |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Eliza Forge, Kotupna via Nathalia, Victoria |
| Enlistment date | 28 August 1916 |
| Rank on enlistment | Private |
| Unit name | 59th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/76/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 2 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 59th Battalion |
| Fate | Returned to Australia 27 September 1917 |
