| Regimental number | 1204 |
| Place of birth | Suva Fiji |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 9 Moncur Street, Woollahra, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Emily Forth, 9 Moncur Street, Woollahra, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, D Company |
| AWM Embarkation Roll number | 23/37/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
