
| Regimental number | 2111 |
| Place of birth | Moonta South Australia |
| Religion | Roman Catholic |
| Occupation | Farm labourer |
| Address | Moonta Mines, South Australia |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Father, Edwin Ford, Moonta Mines, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Pioneer Battalion, Reinforcement 3 |
| AWM Embarkation Roll number | 14/17/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT Seang Bee on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in South Australian Garden of Remembrance |
| Date of death |