| Regimental number | 2921 |
| Place of birth | Williamstown, Victoria |
| Religion | Church of England |
| Occupation | Prospector |
| Address | Bowen, Queensland |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Sister, Mrs Keith Forbes, Mitford Street, St Kilda, Victoria |
| Enlistment date | 16 July 1915 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/42/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A48 Seang Bee on 21 October 1915 |
| Regimental number from Nominal Roll | 2921A |
| Rank from Nominal Roll | Company Quartermaster Sergeant |
| Unit from Nominal Roll | 1st Machine Gun Battalion |
| Fate | Returned to Australia 21 June 1919 |
