| Regimental number | 7001 |
| Place of birth | Kent England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Derby PO, Victoria |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs E E Ford, Lower Green, Leigh, Kent, England |
| Enlistment date | 26 September 1916 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/23/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 23 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Battalion |
| Fate | Demobilised 18 August 1919 |
