| Regimental number | 107 |
| Date of birth | |
| Place of birth | Eastwood New South Wales |
| Religion | Church of England |
| Occupation | Station hand |
| Address | Woollahra, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Ethel Forrest, Eastwood House, Ocean Street, Woollahra, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Lance Corporal |
| Unit name | 5th Light Horse Regiment, Machine Gun Section |
| AWM Embarkation Roll number | 10/10/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board TRANSPORT A34 Persic on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 15th Field Artillery Brigade |
| Promotions |
2nd Lieutenant Unit: ART Div 5 Promotion date: |
| Fate | Returned to Australia |