| Regimental number | 4021 |
| Place of birth | Ararat Victoria |
| Religion | Church of England |
| Occupation | Tailor |
| Address | South Yarra, Victoria |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs E E Moffett, 143 Surrey Road, South Yarra, Victoria |
| Enlistment date | 4 March 1916 |
| Rank on enlistment | Sapper |
| Unit name | No 4 Tunnelling Company and 1st Reinforcements (May 1916) |
| AWM Embarkation Roll number | 16/13/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A69 Warilda on 25 May 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | Australian Corps Headquarters |
| Fate | Returned to Australia 31 May 1919 |