| Regimental number | 63270 |
| Place of birth | Launceston Tasmania |
| Religion | Methodist |
| Occupation | Fitter |
| Address | Zeehan, Tasmania |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, T Ford, Zeehan, Tasmania |
| Previous military service | 91st Infantry |
| Enlistment date | 8 July 1918 |
| Rank on enlistment | Private |
| Unit name | Tasmanian Reinforcement 3 |
| AWM Embarkation Roll number | 23/111/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Zealandic on 5 October 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 28 March 1919 |