| Regimental number | 67379 |
| Place of birth | Chicago USA |
| Religion | Presbyterian |
| Occupation | Salesman |
| Address | New York Hotel, Union Street, Pyrmont, New South Wales |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Father, F Ford, c/o Ford Manufacturing Coy, Philadelphia, USA |
| Enlistment date | 13 September 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 25 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Carpentaria on 7 November 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
