| Regimental number | 9173 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Chemist |
| Address | 'Grenslark', Balfour Road, Kensington |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs Ida Eloise Moore, 'Grenslark', Balfour Road, Kensington |
| Enlistment date | 25 May 1915 |
| Rank on enlistment | Staff Sergeant |
| Unit name | Dermatological Hospital |
| AWM Embarkation Roll number | 26/69/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on 22 December 1915 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | 2nd Light Horse Regiment |
| Fate | Returned to Australia 23 August 1917 |
