| Regimental number | 2840 |
| Religion | Church of England |
| Occupation | Brass finisher |
| Address | Redfern, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Charlotte Jane Forsyth, 148 Military Road, Mosman, New South Wales |
| Enlistment date | 7 November 1916 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/45/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A30 Borda on 29 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 33rd Battalion |
| Fate | Returned to Australia 15 February 1918 |