| Regimental number | 3420 |
| Place of birth | Millers Point New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 23 Judge Street, Darlinghurst, East Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Kate Forth, 23 Judge Street, Darlinghurst, East Sydney, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 29th Reinforcement |
| AWM Embarkation Roll number | 10/12/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Machine Gun Squadron |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
