| Regimental number | 4785 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 13A Bethel Lane, Paddington, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs E Moore, 49 Frederick Street, South Shields, England |
| Enlistment date | 31 January 1916 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 13 April 1916 |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Discharged 8 April 1919 |