| Regimental number | 7011 |
| Place of birth | Sydney New South Wales |
| Religion | Congregational |
| Occupation | Tailor |
| Address | Union Street, North Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Father, A Moss, Union Street, North Sydney, New South Wales |
| Enlistment date | 1 November 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 9 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 6 July 1919 |
