| Regimental number | 63370 |
| Place of birth | Brighton Tasmania |
| Religion | Church of England |
| Occupation | Farrier |
| Address | Hobart, Tasmania |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs E A Ford, 189 Davey Street, Hobart, Tasmania |
| Enlistment date | 18 January 1916 |
| Rank on enlistment | Private |
| Unit name | Tasmanian Reinforcement 3 |
| AWM Embarkation Roll number | 23/111/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Zealandic on 7 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 16 June 1919 |
