| Regimental number | 10648 |
| Place of birth | Clifton Hill Victoria |
| Religion | Church of England |
| Occupation | Lather |
| Address | Tennyson Street, East Malvern, Victoria |
| Marital status | Married |
| Age at embarkation | 21 |
| Next of kin | Wife, Mrs Hazel Moore, 16 Raphael Street, Abbotsford, Melbourne, Victoria |
| Enlistment date | 13 December 1915 |
| Rank on enlistment | Sapper |
| Unit name | Divisional Signal Company 3 |
| AWM Embarkation Roll number | 22/13/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 25 May 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 3rd Divisional Signal Company |
| Fate | Returned to Australia 30 April 1919 |