
| Regimental number | 5626 |
| Place of birth | Bodwin England |
| Religion | Church of England |
| Occupation | Tailor |
| Address | 74 Pitt Street, Redfern, New South Wales |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Aunt, Miss Minnie Forrest, Alpine House Victoria Street, Darlinghurst, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/34/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in New South Wales Garden of Remembrance |
| Date of death |