| Regimental number | 51893 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Driver |
| Address | Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs R A Ford, 64 Sydenham Road, Norwood, South Australia |
| Enlistment date | 24 September 1917 |
| Rank on enlistment | Private |
| Unit name | South Australian Reinforcement 1 |
| AWM Embarkation Roll number | 23/111/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 1 May 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Effective abroad (still overseas) |
