| Regimental number | 8116 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Storeman |
| Address | Paddington, New South Wales |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs M A Ford, 256 Glenmore Road, Paddington, New South Wales |
| Enlistment date | 6 August 1917 |
| Date of enlistment from Nominal Roll | 3 August 1917 |
| Rank on enlistment | Sapper |
| Unit name | Tunnelling Companies (September 1916-February 1918): June 1917 Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Indarra on 26 November 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | Tunnelling Companies |
| Fate | Returned to Australia 15 February 1918 |