| Regimental number | 25868 |
| Place of birth | Ararat Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 5 Williams Street, Footscray, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs C Ford, 5 Williams Street, Footscray, Victoria |
| Enlistment date | 18 March 1916 |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 12, Reinforcement 4 |
| AWM Embarkation Roll number | 13/39/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on 1 August 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | Australian Employment Company |
| Fate | Returned to Australia 18 January 1919 |
