| Regimental number | 1030 |
| Place of birth | Bradford England |
| Religion | Church of England |
| Occupation | Salsman |
| Address | Trinity House, Church Street, Bradford-on-Avon, Wilts, England |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mrs S Moore, 13 Church Street, Bradford-on-Avon, Wilts, England |
| Enlistment date | 14 October 1914 |
| Date of enlistment from Nominal Roll | 5 October 1914 |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 4, Section A |
| AWM Embarkation Roll number | 26/47/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A35 Berrima on 22 December 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Field Ambulance |
| Date of death | 29 January 1963 |
| Place of burial | Brighton General Cemetery |
