| Regimental number | 6312 |
| Place of birth | Bendigo, Victoria |
| Religion | Church of England |
| Occupation | Farrier |
| Address | 24 Williamson Street, Bendigo, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs E Ford, 24 Williamson Street, Bendigo, Victoria |
| Enlistment date | |
| Rank on enlistment | Shoeing Smith |
| Unit name | Field Artillery Brigade 4, Battery 10 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on |