| Regimental number | 2604 |
| Place of birth | Byron Bay New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Woolgoolga, North Coast, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, Birwood Moss, Woolgoolga, North Coast, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 37th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/54/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 37th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
