| Regimental number | 2567 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Mess manager |
| Address | East Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs Edith Winifred Moore, 96 Hotham Street, East Melbourne, Victoria |
| Enlistment date | 23 October 1917 |
| Rank on enlistment | 2nd Air Mechanic |
| Unit name | Australian Flying Corps, No 1 Special Draft |
| AWM Embarkation Roll number | 8/15/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 21 November 1917 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Indarra on 26 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Flying Corps |
| Fate | Returned to Australia 6 May 1919 |
