| Regimental number | 18642 |
| Place of birth | Narrabri New South Wales |
| Religion | Church of England |
| Occupation | Chemist's assistant |
| Address | Narrabri, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, E E Ford, Maitland, Street, Narrabri, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, August 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Field Ambulance |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |