| Regimental number | 1104 |
| Place of birth | Warwick Queensland |
| Religion | Church of England |
| Occupation | Overseer |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Florence Moffatt, c/o Commercial Banking Co Ltd, London Ec, England |
| Enlistment date | 10 October 1915 |
| Rank on enlistment | Private |
| Unit name | July 1916 Reinforcements |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mongolia on 8 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Light Horse Regiment |
| Fate | Returned to Australia 24 July 1919 |
