| Regimental number | 1759 |
| Place of birth | Leek England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Duke of York Restaurant, Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, Robert T Ford, Wharfe House, Leek Staffs, England |
| Enlistment date | 18 January 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/29/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A15 Star Of England on 14 April 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 20 January 1916 |
