| Regimental number | 3627 |
| Place of birth | Thorpdale Victoria |
| Religion | Salvation Army |
| Occupation | Farm labourer |
| Address | Longwarry, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, A Forbes, Longwarry, Victoria |
| Enlistment date | 30 July 1917 |
| Rank on enlistment | Private |
| Unit name | 58th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/75/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Ormonde on 7 March 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 58th Battalion |
| Fate | Returned to Australia 19 August 1919 |
