| Regimental number | 7517 |
| Place of birth | Bathurst New South Wales |
| Religion | Church of England |
| Occupation | Butcher |
| Address | Normanlea, Queensland |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs S A Moore, Normanlea, Warra, Queensland |
| Enlistment date | 12 February 1917 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 25th Reinforcement |
| AWM Embarkation Roll number | 23/26/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 14 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 31 March 1919 |
