| Regimental number | 2612 |
| Place of birth | Adelaide South Australia |
| Religion | Baptist |
| Occupation | Labourer |
| Address | Elizabeth Street, Eastwood, South Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs A Ford, Elizabeth Street, Eastwood, South Australia |
| Enlistment date | 25 May 1915 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Morea on 26 August 1915 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia 28 March 1919 |
