| Regimental number | 4677 |
| Religion | Church of England |
| Occupation | Grocers assistant |
| Address | Clyde PO, Clyde, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs E A Forrest, Clyde PO, Clyde, Victoria |
| Enlistment date | 22 October 1917 |
| Date of enlistment from Nominal Roll | 7 September 1917 |
| Rank on enlistment | Private |
| Unit name | Light Horse, February 1918 Reinforcements |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Darwin on 30 April 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Machine Gun Squadron |
| Fate | Returned to Australia 10 July 1919 |
