| Regimental number | 2175 |
| Place of birth | Wiltshire England |
| Religion | Baptist |
| Occupation | Butcher |
| Address | Tara, Lawson Street, Hamilton, New South Wales |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Mother, Mrs Ann Moore, Highway, Calne Wilks, England |
| Enlistment date | 24 May 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/20/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A63 Karoola on 16 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 21 January 1919 |