| Regimental number | .5412 |
| Place of birth | Broken Hill New South Wales |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | Cobar, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, W Moore, Cobar, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A49 Ceramic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 53rd Battalion |
| Recommendations (Medals and Awards) |
Companion of the Distinguished Service Order Refers March-April 1917. Recommendation date: |
| Fate | Returned to Australia |