| Regimental number | 53455 |
| Place of birth | Leith Scotland |
| Religion | Presbyterian |
| Occupation | Rubber planter |
| Address | Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, D Forman, 29 Cambridge Gardens, Leith, Scotland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 3 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 53rd Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
