| Regimental number | 1006 |
| Place of birth | Deloraine Tasmania |
| Religion | Church of England |
| Occupation | Miner |
| Address | Launceston, Tasmania |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs Mary Ann Fordham, 7 Foster Street, Invermay, Launceston, Tasmania |
| Enlistment date | |
| Rank on enlistment | Corporal |
| Unit name | Mining Corps, Company 3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | 3 Tunnelling Company |
| Recommendations (Medals and Awards) |
Mention in Despatches Awarded, and promulgated, 'London Gazette' No. 31089 (31 December 1918); 'Commonwealth Gazette' No. 61 (23 May 1919). |
| Fate | Returned to Australia |
| Other details | Medals: British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
