| Regimental number | 4110 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Painter |
| Address | Necrok Stafford Street, Paddington, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Father, H Ford c/o Gibbs, Bright And Co, Newcastle, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 7th Depot Unit of Supply |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
