| Regimental number | 5643 |
| Place of birth | California USA |
| Religion | Roman Catholic |
| Occupation | Driver |
| Address | 52 Little Gore Street, Fitzroy, Victoria |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Emily Moore, 71 Palmer Street, Collingwood, Victoria |
| Enlistment date | 8 April 1916 |
| Date of enlistment from Nominal Roll | 28 April 1916 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/40/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 25 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Signal Company |
| Fate | Returned to Australia 11 May 1919 |