| Regimental number | 3969 |
| Place of birth | Berwick, Victoria |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Deer Park, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs. G. Forrest, Athlone via Drouin, Victoria |
| Enlistment date | 9 July 1915 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/25/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A40 Ceramic on 23 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Battalion |
| Fate | Returned to Australia 11 April 1916 |
