| Regimental number | 679 |
| Religion | Church of England |
| Occupation | Blacksmith |
| Address | Cairns, Queensland |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Mother, Mrs Ann Forshaw, Barnston, Cheshire, England |
| Enlistment date | 17 January 1917 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 13, Reinforcement 12 |
| AWM Embarkation Roll number | 24/18/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on 21 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | ac Troops MT Company |
| Fate | Returned to Australia 7 February 1919 |