| Regimental number | 5379 |
| Place of birth | Albert Park Victoria |
| Religion | Roman Catholic |
| Occupation | Signal fitter |
| Address | 40 Elizabeth Street, Redfern, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, Mr C Ford, 82 Raleigh Street, Thornbury, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Cheltenham Memorial Park Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
