| Regimental number | 367 |
| Place of birth | Derby England |
| Religion | Church of England |
| Occupation | Engineer |
| Address | 'Rawhiti', Willoughby Road, Willoughby, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Jessie Ford, 'Rawhiti', Willoughby Road, Willoughby, Sydney, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 9, Reinforcement 4 |
| AWM Embarkation Roll number | 24/14/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 16th Machine Gun Company |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
