| Regimental number | 6778 |
| Place of birth | London England |
| Religion | Baptist |
| Occupation | Mechanic |
| Address | Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs R E Moore, Bridge Street, Nundah, Queensland |
| Enlistment date | 8 June 1916 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A74 Marathon on 27 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 26 July 1919 |
