| Regimental number | 6547 |
| Place of birth | Middlesex England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Hackney, South Australia |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs M A L Moore, 4 George Street, Hackney, South Australia |
| Enlistment date | 28 August 1916 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A16 Port Melbourne on 21 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia 11 January 1918 |
