| Regimental number | 4117 |
| Place of birth | Kadina South Australia |
| Religion | Church of England |
| Occupation | Horse-driver |
| Address | Henley Beach Road, Mile End, South Australia |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs Cordilla Ellen Ford, Henley Beach Road, Mile End, South Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/44/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Mongolia on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 27th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Egypt, Western Front Medals: British War Medal, Victory Medal |
| Date of death | |
| Age at death | 65 |
| Place of burial | AIF Cemetery, West Terrace, Adelaide, South Australia |