| Regimental number | 763 |
| Place of birth | Perth Western Australia |
| Religion | Church of England |
| Occupation | Mechanic |
| Address | 6 Stop Street, Zeehan, Tasmania |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs N Moore, 6 Stop Street, Zeehan, Tasmania |
| Enlistment date | 26 January 1917 |
| Date of enlistment from Nominal Roll | 25 January 1917 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 4, Reinforcement 14 |
| AWM Embarkation Roll number | 24/9/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 21 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Machine Gun Battalion |
| Fate | Returned to Australia 25 March 1919 |
