| Regimental number | 1928 |
| Place of birth | Wagga Wagga New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | c/o Mrs W Ford, Uranquinty, via Wagga, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs W Ford, Uranquinty, via Wagga, New South Wales |
| Enlistment date | 25 June 1915 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 9 August 1915 |
| Regimental number from Nominal Roll | 1928a |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Field Artillery Brigade |
| Fate | Returned to Australia 21 December 1917 |