| Regimental number | 19178 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Draughtsman |
| Address | Norwood, South Australia |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs D L Moten, 93 George Street, Norwood, South Australia |
| Enlistment date | 22 January 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, September 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 28 February 1918 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 1 May 1919 |
