| Regimental number | 5629 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 24 Yarra Street, Hawthorn, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, Ernest A Moss, Wanga Road, Ringwood, Victoria |
| Enlistment date | 20 April 1916 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/39/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 25 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Division Train |
| Fate | Returned to Australia 20 July 1919 |
