| Regimental number | 2504 |
| Place of birth | Mount Lambie New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Portland, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Father, Mr Samuel Ward, Mount Lambie, Rydal, New South Wales |
| Enlistment date | 25 April 1916 |
| Rank on enlistment | Private |
| Unit name | 53rd Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/70/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A47 Mashobra on 14 September 1916 |
| Regimental number from Nominal Roll | 2504A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 53rd Battalion |
| Fate | Returned to Australia 18 October 1917 |
