| Regimental number | 5722 |
| Place of birth | Mount Morgan Queensland |
| Religion | Church of England |
| Occupation | Barman |
| Address | c/o Mrs J Wright, Red Hill, Mount Morgan, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, G Moulds c/o Mrs J Wright, Red Hill Mount Morgan, Queensland |
| Enlistment date | 31 January 1916 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A49 Seang Choon on 4 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Machine Gun Battalion |
| Fate | Returned to Australia 10 May 1919 |
