| Regimental number | 16866 |
| Place of birth | Sydney New South Wales |
| Religion | Presbyterian |
| Occupation | Printer |
| Address | Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Annie Ford, 'Mere,' Broad Road, South Randwick, New South Wales |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | January 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 4th Field Company Engineers |
| Fate | Died of disease |
| Place of burial | Etretat Churchyard Extension (Plot III, Row E, Grave No. 1), France |
| Panel number, Roll of Honour, Australian War Memorial | 23 |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
