| Regimental number | 260 |
| Place of birth | Gawler South Australia |
| Religion | Methodist |
| Occupation | Draper |
| Address | Smithfield, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Ada Moss, Smithfield, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, G Company |
| AWM Embarkation Roll number | 23/27/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board Transport A11 Ascanius on |