| Regimental number | 707 |
| Place of birth | Nigan England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Addison Street, Shell Harbor, Illawarra, New South Wales |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs A M Moss, Addison Street, Shell Harbor, Illawarra, South Coast, New South Wales |
| Enlistment date | 28 April 1917 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 9, Reinforcement 12 |
| AWM Embarkation Roll number | 24/14/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A60 Aeneas on 30 October 1917 |
