| Regimental number | 4492 |
| Place of birth | Cowra New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Livingstone Road, Lidcombe, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs M Ford, Livingstone Road, Lidcombe, New South Wales |
| Enlistment date | 31 August 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 15 January 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Date of death | 5 October 1956 |
| Place of burial | Rookwood Necropolis |