| Regimental number | 719 |
| Place of birth | Willsden England |
| Religion | Church of England |
| Occupation | Fitter |
| Address | 81 St George's Road, Bristol, England |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs Kate Forsbrey, 81 St George's Road, Bristol, England |
| Enlistment date | 21 April 1915 |
| Date of enlistment from Nominal Roll | 19 April 1915 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, B Company |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Ceramic on 25 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Discharged 20 June 1917 |