| Regimental number | 4571 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Engineer's labourer |
| Address | 3 The Avenue, Balmain East, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs C Moore, 3 The Avenue, Balmain East, New South Wales |
| Enlistment date | 15 October 1915 |
| Date of enlistment from Nominal Roll | 15 October 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A62 Wandilla on 3 February 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Pioneer Battalion |
| Fate | Returned to Australia 21 December 1918 |
