| Regimental number | 18919 |
| Place of birth | Broken Hill New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Port Augusta, South Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs E M Ford, Port Augusta, South Australia |
| Enlistment date | 4 October 1916 |
| Rank on enlistment | Private |
| Unit name | 14th Australian General Hospital, 1917 Egypt Reinforcements |
| AWM Embarkation Roll number | 26/101/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 31 August 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Light Horse Field Ambulance |
| Fate | Returned to Australia 13 March 1919 |
