| Regimental number | 631 |
| Place of birth | Scottsdale Tasmania |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | Gayndah, Queensland |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs Aseneth Ford, Elizabeth Street, Launceston, Tasmania |
| Enlistment date | 18 January 1917 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 11, Reinforcement 10 |
| AWM Embarkation Roll number | 24/16/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on 21 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 31st Battalion |
| Fate | Returned to Australia 5 July 1919 |
