
| Regimental number | 3144 |
| Place of birth | Clifton New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Maylands, Western Australia |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs Lilian Fort, Cambridge Street, Maylands, Western Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 46th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/63/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A34 Persic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 46th Battalion |
| Recommendations (Medals and Awards) |
Military Medal Recommendation date: |
| Fate | Returned to Australia |