| Regimental number | 69746 |
| Occupation | Farmer |
| Next of kin | Father, L S Ford, Manunui, Auckland |
| Rank on embarkation | Lance Corporal |
| Unit name | New Zealand Expeditionary Force, 35th Reinforcements, D Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Tofua on |
| Sources | Nominal Rolls Vol. 4: Roll 80, p. 12 |