| Regimental number | 2864 |
| Place of birth | Redfern New South Wales |
| Religion | Methodist |
| Occupation | Apprentice fitter |
| Address | Waylen Street, East Guilford, Western Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, W N Ford, Waylen Street, East Guilford, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/29/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A20 Hororata on |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
