| Regimental number | 4203 |
| Place of birth | Roma Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Killarney, Queensland |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs M Moore, Roma, Queensland |
| Enlistment date | 2 August 1915 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on 3 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Field Artillery Brigade |
| Fate | Returned to Australia 29 May 1919 |
