| Regimental number | 208 |
| Place of birth | Loch Victoria |
| Religion | Church of England |
| Occupation | Car and wagon builder |
| Address | 483 Mt Alexander Road, Moonee Ponds, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | A S Moore, 483 Mt Alexander Road, Moonee Ponds, Victoria |
| Enlistment date | 18 August 1914 |
| Rank on enlistment | PTE (AAMC) |
| Unit name | 2nd Field Company Engineers |
| AWM Embarkation Roll number | 14/21/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A3 Orvieto on 21 October 1914 |
| Rank from Nominal Roll | Private (Australian Army Medical Corps) |
