| Regimental number | 1719 |
| Place of birth | Geelong Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Geelong, Victoria |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Mary Moore, 5 York Street, Geelong, Victoria |
| Enlistment date | 1 February 1916 |
| Rank on enlistment | Private |
| Unit name | 58th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/75/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 58th Battalion |
| Fate | Returned to Australia 20 September 1916 |
