| Regimental number | 30 |
| Religion | Church of England |
| Occupation | Farmer |
| Address | 85 Wilson Street, Newtown, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs E Forster, 85 Wilson Street, Newtown, New South Wales |
| Enlistment date | 12 August 1914 |
| Rank on enlistment | Private |
| Unit name | Naval and Military Expeditionary Force (Tropical Unit), Australian Medical Corps |
| AWM Embarkation Roll number | 23/112/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on 19 August 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
