| Regimental number | 6741 |
| Place of birth | Merriwa |
| Religion | Church of England |
| Occupation | Railway porter |
| Address | Rotherwood Station, via Cassilis, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, P Ford, Rotherwood Station, via Cassilis, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Port Nicholson on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 1st Machine Gun Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |