| Regimental number | 619 |
| Place of birth | Georges Plains New South Wales |
| Religion | Protestant |
| Occupation | Farm labourer |
| Address | c/o J Ford, Waterworks, Lithgow, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Father, J. Ford, Waterworks, Lithgow, New South Wales |
| Enlistment date | 17 August 1914 |
| Rank on enlistment | Lance Corporal |
| Unit name | 2nd Battalion, F Company |
| AWM Embarkation Roll number | 23/19/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A23 Suffolk on 18 October 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 17 March 1916 |
