| Regimental number | 4166 |
| Place of birth | Yarmouth England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 142 Princes Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Mother, Mrs E Moore, 64 Auckland Avenue, Hull, England |
| Enlistment date | 12 October 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on 8 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia 13 February 1917 |
