| Regimental number | 11208 |
| Place of birth | Port Melbourne Victoria |
| Religion | Church of England |
| Occupation | Motor panel beater |
| Address | Prahran, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, C Moulin, 1D Percy Street, Prahran, Victoria |
| Enlistment date | 2 February 1916 |
| Rank on enlistment | Mechanic |
| Unit name | 3rd Division Ambulance Workshop |
| AWM Embarkation Roll number | 26/107/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A34 Persic on 3 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Engineers Sqd AFC |
| Fate | Discharged 15 August 1918 |
