| Regimental number | 621 |
| Place of birth | Maidenhead England |
| Religion | Church of England |
| Occupation | Fireman |
| Address | Churchgate House, Maidenhead, England |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mrs A Forss, Churchgate House, Maidenhead, England |
| Enlistment date | |
| Rank on enlistment | Sergeant |
| Unit name | 21st Battalion, C Company |
| AWM Embarkation Roll number | 23/38/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on |
| Rank from Nominal Roll | Warrant Officer (Class II) |
| Unit from Nominal Roll | 21st Battalion |
| Recommendations (Medals and Awards) |
Military Medal Mention in Special Garrison Routine Orders 15 September 1915. Recommendation date: |
| Fate | Discharged |
| Medals |
Medaille militaire (France) Source: 'Commonwealth Gazette' No. 919 Date: |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
