| Regimental number | 5695 |
| Place of birth | Springton South Australia |
| Religion | Church of England |
| Occupation | Wool classer |
| Address | Springton, South Australia |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs E A M Forrest, Keyneton, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A37 Barambah on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 14th Field Ambulance |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |