| Regimental number | 2064 |
| Place of birth | Trangi New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 'Minoru', Mount Street, Coogee, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, Fredk Charles Ford, 'Minoru', Mount Street, Coogee, Sydney, New South Wales |
| Enlistment date | 27 April 1916 |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/53/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Machine Gun Battalion |
| Fate | Effective abroad (still overseas) |
