| Regimental number | 5377 |
| Place of birth | Launceston Tasmania |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 93 Mort Street, Balmain, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Matilda Moore, 84 Church Street, Balmain, Sydney, New South Wales |
| Enlistment date | 28 February 1916 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/34/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 22 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 24 January 1919 |
