| Regimental number | 6046 |
| Place of birth | Fremantle Western Australia |
| Religion | Roman Catholic |
| Occupation | Locomotive driver |
| Address | 33 Cambridge Street, Leederville, Western Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs M A Forkin, 33 Cambridge Street, Leederville, Western Australia |
| Enlistment date | 27 March 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A28 Miltiades on 7 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 31 October 1917 |
