| Regimental number | 4077 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Salesman |
| Address | Dulwich Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Ida Moore, 'Leura', 16 Durham Street, Dulwich Hill, New South Wales |
| Enlistment date | 8 May 1916 |
| Date of enlistment from Nominal Roll | 1 May 1916 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/47/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia 23 March 1919 |