| Regimental number | 696 |
| Place of birth | Townsville Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Davidson Street, South Townsville, Queensland |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Eliza Moore, Davidson Street, South Townsville, Queensland |
| Previous military service | 2nd Infantry |
| Enlistment date | 29 November 1915 |
| Date of enlistment from Nominal Roll | 29 May 1915 |
| Rank on enlistment | Private |
| Unit name | 41st Battalion, C Company |
| AWM Embarkation Roll number | 23/58/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on 18 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 51st Battalion |
| Fate | Returned to Australia 12 May 1919 |
