| Regimental number | 2642 |
| Religion | Church of England |
| Occupation | Grazier |
| Address | Rappville via Casino, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, John Henry Ford, Rappville via Casino, New South Wales |
| Enlistment date | 24 September 1915 |
| Rank on enlistment | Private |
| Unit name | 11th Light Horse Regiment, 9th Reinforcement |
| AWM Embarkation Roll number | 10/16/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A49 Seang Choon on 4 May 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |