| Regimental number | 97 |
| Place of birth | Worcester England |
| Religion | Church of England |
| Occupation | Commercial traveller |
| Address | Phipp Street, East Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs Fanny Jane Moore, Phipp Street, East Brisbane, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1 Australian General Hospital (November 1914) |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board Transport A55 Kyarra on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian General Hospital |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
