| Regimental number | 12325 |
| Place of birth | Omeo Victoria |
| Religion | Church of England |
| Occupation | Student |
| Address | 4 The Avenue, Balaclava, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, Dr Alfred Miller Ford, 4 The Avenue, Balaclava, Victoria |
| Previous military service | M U Rifles |
| Enlistment date | 8 September 1915 |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 10 |
| AWM Embarkation Roll number | 26/53/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on 20 June 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 10th Field Ambulance |
| Fate | Returned to Australia 21 March 1919 |