| Regimental number | 2649 |
| Place of birth | Newcastle New South Wales |
| Religion | Church of England |
| Address | 15 Forman Street, Tempe, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs M Moss, 15 Forman Street, Tempe, New South Wales |
| Enlistment date | 18 June 1915 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/30/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 9 August 1915 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | Australian Army Ordnance Corps |
| Fate | Effective abroad (still overseas) |
