| Regimental number | 751 |
| Place of birth | Bronte New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Lake Bathurst near Goulburn, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs S Moore, Lake Bathurst near Goulburn, New South Wales |
| Enlistment date | 12 March 1917 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 11, Reinforcement 13 |
| AWM Embarkation Roll number | 24/16/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Indarra on 26 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Machine Gun Battalion |
| Fate | Returned to Australia 25 September 1919 |
