| Regimental number | 2843 |
| Place of birth | Gundagai New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Cunnamulla, Queensland |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs Mary Moore, Cunnamulla PO, Cunnamulla, Queensland |
| Enlistment date | 16 October 1916 |
| Rank on enlistment | Private |
| Unit name | 41st Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/58/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on 23 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | MGDetails |
| Fate | Returned to Australia 25 November 1917 |