| Regimental number | 4476 |
| Place of birth | Bangerang Victoria |
| Religion | Presbyterian |
| Occupation | Asylum attendant |
| Address | High Street, Melton, Victoria |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs Edith May Moore, Melton, Victoria |
| Enlistment date | 9 August 1915 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on 29 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia 21 April 1918 |
