| Regimental number | 1542 |
| Place of birth | Bathurst New South Wales |
| Religion | Church of England |
| Occupation | Estate agent |
| Address | Collington, Military Road, North Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs. Edith Theresa Forrest, Collington, Military Road, North Sydney, New South Wales |
| Enlistment date | 25 June 1915 |
| Date of enlistment from Nominal Roll | 20 July 1915 |
| Rank on enlistment | Private |
| Unit name | 6th Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/11/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Hawkes Bay on 23 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 15 January 1919 |
