| Regimental number | 15562 |
| Place of birth | Newtown Wales |
| Religion | Church of England |
| Occupation | Chemist |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Father, A Ford, Abermule, North Wales |
| Enlistment date | 3 September 1915 |
| Rank on enlistment | Staff Sergeant |
| Unit name | Staff Sergeant Dispensers |
| AWM Embarkation Roll number | 26/108/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on 8 March 1916 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | 1st Field Ambulance |
| Fate | Effective abroad (still overseas) |
