| Regimental number | 2115 |
| Place of birth | Kensington South Australia |
| Religion | Methodist |
| Occupation | Labourer |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Rosina Ford, 64 Sydenham Road, Norwood, South Australia |
| Enlistment date | 9 February 1915 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/33/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 23 June 1915 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia 15 February 1918 |
| Date of death | 10 December 1961 |
| Place of burial | West Terrace Cemetery |
