| Regimental number | 1958 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Healesville, Victoria |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs Amelia Ford Rechenburg, Marshalltown, Geelong, Victoria |
| Enlistment date | 18 February 1916 |
| Rank on enlistment | Private |
| Unit name | 58th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/75/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A31 Ajana on 8 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 46th Battalion |
| Fate | Returned to Australia 12 May 1919 |
