| Regimental number | 5412 |
| Place of birth | Pershore England |
| Religion | Church of England |
| Occupation | Farmer |
| Address | c/o Forsyth, Rosebank, Mansfield, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs M A Mytton, Pensham, Pershore, Worcestershire, England |
| Enlistment date | 9 March 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A33 Ayrshire on 3 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Division Train |
| Fate | Returned to Australia 18 July 1919 |
