| Regimental number | 17456 |
| Place of birth | Nottingham England |
| Religion | Church of England |
| Occupation | Cordial manufacturer |
| Address | Fitzroy, Victoria |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Brother, Oscar C Ford, Mornington, Victoria |
| Enlistment date | 29 September 1916 |
| Rank on enlistment | Sapper |
| Unit name | |
| AWM Embarkation Roll number | 22/13/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 11 May 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 3 Division Signal Company |
| Fate | Returned to Australia 24 January 1918 |
