| Regimental number | 1944 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 48 Eastern Road, South Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs Mary Ann Ford, 20 Hawthorn Avenue, Caulfield, Victoria |
| Enlistment date | 10 May 1916 |
| Rank on enlistment | Private |
| Unit name | 39th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/56/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on 16 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 39th Battalion |
| Fate | Returned to Australia 21 July 1917 |
