| Regimental number | 2692 |
| Place of birth | Mount Cameron Tasmania |
| Religion | Church of England |
| Occupation | Engine driver |
| Address | c/o GPO, Launceston, Tasmania |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs Vic Forward, c/o GPO, Launceston, Tasmania |
| Enlistment date | 14 July 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/29/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT Makarini on 10 September 1915 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 21 March 1919 |
