| Regimental number | 4964 |
| Religion | Church of England |
| Occupation | Orchardist |
| Address | 85 Wilson Street, Newtown, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Forster, 85 Wilson Street, Newtown, New South Wales |
| Enlistment date | 26 June 1915 |
| Rank on enlistment | Corporal |
| Unit name | Australian Army Medical Corps, Hospital Transports Staff (No. 1 Hospital Ship, 'Karoola') |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 14 July 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
