| Regimental number | 1384 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Platelayer |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs M Moss, Herne Hill, London, England |
| Enlistment date | 26 November 1914 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/27/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A46 Clan Macgillivray on 2 February 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia 19 March 1916 |
