| Regimental number | 6805 |
| Place of birth | Orara New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Seelands PO, Seelands via South Grafton, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Hannah Ford, Laurel Bank, Great Marlow, Clarence River, New South Wales |
| Enlistment date | 27 October 1916 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/42/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 14 June 1917 |
| Rank from Nominal Roll | 2nd Corporal |
| Unit from Nominal Roll | Anzac Provost Corps |
| Fate | Effective abroad (still overseas) |