| Regimental number | 4058 |
| Place of birth | Roxbrough, Scotland |
| Religion | Presbyterian |
| Occupation | Timber worker |
| Address | Bridgtown, Western Australia |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs Jane Ann Coventry Ford, Midland Junction PO, Midland Junction, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A38 Ulysses on |
| Rank from Nominal Roll | Warrant Officer (Class II) |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |