| 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 | 7 October 1914 |
| 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 21 November 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian General Hospital |
| Fate | Returned to Australia 4 February 1915 |
