| Regimental number | 19085 |
| Place of birth | Manchester England |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Paddington, New South Wales |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs A L Moss, 30 Carill Drive, Fallowfield, Manchester, England |
| Enlistment date | 6 June 1916 |
| Rank on enlistment | Staff Sergeant |
| Unit name | Dental Details |
| AWM Embarkation Roll number | 26/105/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Darwin on 30 April 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 3 July 1919 |
