| Regimental number | 16413 |
| Place of birth | Orange New South Wales |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Spring Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, A Moad, Little Springs, Spring Hill, New South Wales |
| Enlistment date | 29 January 1916 |
| Date of enlistment from Nominal Roll | 11 February 1916 |
| Rank on enlistment | Private |
| Unit name | December 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on 19 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Field Ambulance |
| Fate | Returned to Australia 20 June 1919 |
