| Regimental number | 4780 |
| Place of birth | Port Melbourne Victoria |
| Religion | Roman Catholic |
| Occupation | Driver |
| Address | 136 Nicholson Street, Fitzroy, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs. G. Ford, c/o Mrs. Hayes, Nicholson Hotel, Nicholson Street, North Carlton, Victoria |
| Enlistment date | 9 September 1915 |
| Date of enlistment from Nominal Roll | 13 September 1915 |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/24/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 7 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | ao Cyc Battalion |
| Fate | Effective abroad (still overseas) |
