| Regimental number | 4629 |
| Place of birth | Millers Point New South Wales |
| Religion | Church of England |
| Occupation | Shipwright |
| Address | 3 Queens Avenue, Blues Point North Sydney, New South Wales |
| Marital status | Widower |
| Age at embarkation | 44 |
| Next of kin | Brother, W Ford, 3 Queens Avenue, Blues Point North Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/30/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A70 Ballarat on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 15th Light Trench Mortar Battery |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
