| Regimental number | 5010 |
| Place of birth | Sydney New South Wales |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | 19 Campbell Street, North Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs M J Ford c/o Miss Cook, Highburnham Hotel, Goulburn, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 33rd Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |