| Regimental number | 2921 |
| Place of birth | Canterbury New South Wales |
| Religion | Church of England |
| Occupation | Painter |
| Address | Goulburn, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Alice Amelia Ford, Taylor Street, Goulburn, New South Wales |
| Previous military service | 43rd Infantry |
| Enlistment date | 7 October 1916 |
| Rank on enlistment | Private |
| Unit name | 59th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/76/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A19 Afric on 3 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 58th Battalion |
| Fate | Returned to Australia 24 July 1919 |
