| Regimental number | 505 |
| Place of birth | Fremantle Western Australia |
| Religion | Church of England |
| Occupation | Commercial traveller |
| Address | Moss and George Streets, East Fremantle, Western Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs A Fordham, Moss and George Streets, East Fremantle, Western Australia |
| Previous military service | Royal Australian Garrison Artillery |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | Siege Artillery Brigade, 2nd Reinforcements |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 36th Heavy Artillery Brigade |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 1 Date: |