| Regimental number | 9174 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Traveller |
| Address | 33 Emmett Street, North Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs Winifred Moss, 33 Emmett Street, North Sydney, New South Wales |
| Date of enlistment from Nominal Roll | 11 November 1914 |
| Rank on enlistment | Staff Sergeant |
| Unit name | Dermatological Hospital |
| AWM Embarkation Roll number | 26/69/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on 22 December 1915 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | No 1 Hospital Ship |
| Fate | Effective abroad (still overseas) |
