| Regimental number | 462 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Toodyay, Western Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs F Forword, Seabrook, Western Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, C Squadron |
| AWM Embarkation Roll number | 10/15/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board Transport A52 Surada on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 15th Light Horse Regiment |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 120 Date: |