| Regimental number | 5064 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Seaman |
| Address | Semaphore, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs P E Moore, 2 Bute Terrace, Military Road, Semaphore, South Australia |
| Enlistment date | 1 March 1917 |
| Rank on enlistment | Private |
| Unit name | 32nd Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/49/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 22 December 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 50th Battalion |
| Fate | Returned to Australia 15 January 1919 |
