| Regimental number | 6816 |
| Place of birth | London, England |
| Religion | Church of England |
| Occupation | Accountant |
| Address | South Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs Winifred Baker Ford, King Edward Street, South Perth, Western Australia |
| Enlistment date | 30 August 1916 |
| Place of enlistment | Fremantle, Western Australia |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/45/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A30 Borda on 29 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia 31 March 1919 |
