| Regimental number | 1293 |
| Place of birth | Llangothlin New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Randwick, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs Kathleen Ford, Florida, Avoca Street, Randwick, Sydney, New South Wales |
| Enlistment date | 28 September 1915 |
| Rank on enlistment | TPR |
| Unit name | Australian Remount Unit 2, Squadron 5 |
| AWM Embarkation Roll number | 28/3/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 10 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Remounts |
| Fate | Returned to Australia 29 April 1916 |
| Date of death | 2 July 1963 |
| Place of burial | Botany Cemetery |