| Regimental number | 2475 |
| Place of birth | Ararat Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs E E Ford, 5 William Street, Footscray, Melbourne, Victoria |
| Enlistment date | 10 July 1915 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Osterley on 29 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Machine Gun Battalion |
| Fate | Returned to Australia 28 March 1919 |
