| Regimental number | 67380 |
| Place of birth | Cheshire England |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Albert Hotel, Elizabeth Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Mother, Mrs F Ford, 69 Bataan Street, Plaistow, England |
| Enlistment date | 23 July 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 25 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Carpentaria on 7 November 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
