| Regimental number | 2840 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Brass finisher |
| Address | 68 Wilson Street, Redfern, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Charlotte Jane Forsyth, 68 Wilson Street, Redfern, Sydney, New South Wales |
| Enlistment date | 7 November 1916 |
| Rank on enlistment | Private |
| Unit name | 33rd Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/50/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 25 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 33rd Battalion |
| Fate | Returned to Australia 15 February 1918 |
