| Regimental number | 56111 |
| Place of birth | Smithfield South Australia |
| Religion | Presbyterian |
| Occupation | Storekeeper |
| Address | Smithfield, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs A M Moss, Smithfield, South Australia |
| Enlistment date | 10 December 1917 |
| Rank on enlistment | Private |
| Unit name | 1 to 6 (SA) Reinforcements (May-Oct 1918) |
| AWM Embarkation Roll number | 23/111/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A74 Marathon on 23 July 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia 22 July 1919 |
