| Regimental number | 6780 |
| Place of birth | Dunedin New Zealand |
| Religion | Roman Catholic |
| Occupation | Driver |
| Address | 8 Mary Street, Richmond, Victoria |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs M A Moss, 8 Mary Street, Richmond, Victoria |
| Enlistment date | 18 September 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia 5 November 1917 |
