| Regimental number | 317 |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Crookwell, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mrs Jane Moore, 46 Thornton Road, Gosford, England |
| Enlistment date | |
| Rank on enlistment | Lance Corporal |
| Unit name | 1st Light Horse Regiment, B Squadron |
| AWM Embarkation Roll number | 10/6/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Star Of Victoria on |
| Rank from Nominal Roll | Lance Corporal |