| Regimental number | 5099 |
| Place of birth | Heme Hill England |
| Religion | Church of England |
| Occupation | Motor mechanic |
| Address | 15 Careton Street, Manly, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, W Forder, 175 Rallton Road, Henie Hill, London, SE, England |
| Enlistment date | 8 September 1915 |
| Date of enlistment from Nominal Roll | 18 September 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Makarini on 1 April 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Effective abroad (still overseas) |
