| Regimental number | 2555 |
| Place of birth | Brisbane Queensland |
| Religion | Baptist |
| Occupation | Civil servant |
| Address | 221 William Street, Rockhampton, Queensland |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Janet Black Forssell, 221 William Street, Rockhampton, Queensland |
| Previous military service | 3rd Infantry |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 42nd Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/59/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 42nd Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
