| Regimental number | 3640 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Wrightsville via Cobar, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, W Moore, Wrightsville via Cobar, New South Wales |
| Enlistment date | 1 March 1916 |
| Rank on enlistment | Sapper |
| Unit name | |
| AWM Embarkation Roll number | 16/13/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 22 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Tunnelling Company |
| Fate | Returned to Australia 20 June 1919 |
