| Regimental number | 7177 |
| Place of birth | Barraga New South Wales |
| Religion | Church of England |
| Occupation | Bakers assistant |
| Address | Goulburn, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, L Ford, Taylor Street, Goulburn, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/34/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Rookwood Crematorium |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
