| Regimental number | 11834 |
| Place of birth | Natimuk Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Mewlbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, T Fort, Natimuk, Victoria |
| Enlistment date | 11 October 1915 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 4, Reinforcement 3 |
| AWM Embarkation Roll number | 13/32/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 January 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 5th Field Artillery Brigade |
| Fate | Returned to Australia 29 May 1919 |
