
| Regimental number | 453 |
| Place of birth | Ballarat Victoria |
| Religion | Roman Catholic |
| Occupation | Farmer |
| Address | Blowhard, Victoria |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs Mary Ann Ford, Blowhard near Ballarat, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 39th Battalion, Headquarters |
| AWM Embarkation Roll number | 23/56/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 39th Battalion |
| Recommendations (Medals and Awards) |
Military Medal Recommendation date: |
| Fate | Returned to Australia |