| Regimental number | 4190 |
| Place of birth | Goulburn New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Oakdene,Kays Avenue, Marrickville, NSW. |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Sister, Mrs E J Moores, Oakdene, Kays Avenue, Marrickville, New South Wales |
| Enlistment date | 15 September 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 20 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Machine Gun Corps Details |
| Fate | Returned to Australia 24 August 1918 |