| Regimental number | 3080 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Darvall Street, St. Leonards, North Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs. E. Moore, Darvall Street, St Leonards, North Sydney, New South Wales |
| Enlistment date | 3 July 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/18/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 8 October 1915 |
| Regimental number from Nominal Roll | 3080A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 53rd Battalion |
| Fate | Returned to Australia 8 April 1919 |