| Regimental number | 1053 |
| Place of birth | Malvern South Australia |
| Religion | Church of England |
| Occupation | Commercial traveller |
| Address | 17 Parker Street, Mile End, South Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Alice Annie Ford, 17 Parker Street, Mile End, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 4, Section B |
| AWM Embarkation Roll number | 26/47/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board TRANSPORT A35 Berrima on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Flying Corps |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
