| Regimental number | 37409 |
| Place of birth | Parkes New South Wales |
| Religion | Church of England |
| Occupation | Machinist |
| Address | 133 Blues Point Road, North Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Maud Elizabeth Fortey, 133 Blues Point Road, North Sydney, New South Wales |
| Enlistment date | 19 February 1917 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade, Reinforcement 30 |
| AWM Embarkation Roll number | 13/128/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 5 November 1917 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 1st Divisional Ammunition Column |
| Fate | Returned to Australia 4 December 1918 |
| Date of death | 16 June 1975 |
| Place of burial | Gladstone Qld Cemetery |
