| Regimental number | 1822 |
| Place of birth | Forbes New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Court Street, Forbes |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, Samuel Percy Ford, Court Street, Forbes |
| Enlistment date | 9 February 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Field Ambulance, 5th Reinforcement |
| AWM Embarkation Roll number | 26/39/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 17 March 1915 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | 1st Light Horse Field Ambulance |
| Fate | Returned to Australia 17 March 1916 |
