| Regimental number | 17179 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | 315 Riley Street, Surry Hills, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs M Moore, 315 Riley Street, Surry Hills, Sydney, New South Wales |
| Enlistment date | 10 January 1916 |
| Rank on enlistment | Driver |
| Unit name | Reinforcement 6 |
| AWM Embarkation Roll number | 13/33/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 5 June 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 2nd Division Ammunition Column |
| Fate | Returned to Australia 21 December 1918 |
