| Regimental number | 2787 |
| Place of birth | Cobram Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Shepparton, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Catherine Moore, Wyndham Street, Shepparton, Victoria |
| Enlistment date | 22 June 1916 |
| Date of enlistment from Nominal Roll | 2 July 1916 |
| Rank on enlistment | Private |
| Unit name | 59th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/76/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 2 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Machine Gun Battalion |
| Fate | Returned to Australia 4 July 1919 |
