| Regimental number | 4479 |
| Place of birth | Sydney New South Wales |
| Religion | Presbyterian |
| Occupation | Carpenter |
| Address | Fordyce, Balmain East Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs A Moore, Fordyce Duke Street, Balmain, Sydney, New South Wales |
| Enlistment date | 18 October 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 20 May 1919 |
