| Regimental number | 4550 |
| Place of birth | SA |
| Religion | Church of England |
| Occupation | Farm hand |
| Address | Lake View Street, Victoria Park, Western Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs C A Moore, Lake View Street, Victoria Park, Western Australia |
| Enlistment date | 1 November 1915 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A28 Miltiades on 12 February 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 10 March 1918 |
