| Regimental number | 6806A |
| Place of birth | North Melbourne Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Crib Point, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, C Ford, Crib Point, Victoria |
| Enlistment date | 26 July 1917 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/39/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 21 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Returned to Australia 5 March 1919 |
