| Regimental number | 248 |
| Place of birth | West Maitland New South Wales |
| Religion | Church of England |
| Occupation | Carter |
| Address | 31 Ruthven Street, Waverley, New South Wales |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs A Moore, Ulverston, Hudson Street, Hurstville, New South Wales |
| Enlistment date | 27 January 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 1, Reinforcement 2 |
| AWM Embarkation Roll number | 24/6/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 14 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Machine Gun Battalion |
| Fate | Returned to Australia 16 June 1919 |
