| Regimental number | N/E |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Civil servant |
| Address | Cottesloe Beach, Western Australia |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Mother, Mrs Louise Ellie Moss, Dean Street, Cottesloe Beach, Western Australia |
| Enlistment date | 1 August 1915 |
| Rank on enlistment | 2nd Lieutenant |
| Unit name | 16th Battalion, 26th Reinforcement |
| AWM Embarkation Roll number | 23/33/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 1 August 1917 |
