| Regimental number | 363 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Drake via Tenterfield, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs C Ford, Drake via Tenterfield, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 25th Battalion B Company |
| AWM Embarkation Roll number | 23/42/1 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A60 Aeneas on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 25th Battalion |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in New South Wales Garden of Remembrance |
| Date of death |