| Regimental number | 3731 |
| Place of birth | Ashton South Australia |
| Religion | Baptist |
| Occupation | Labourer |
| Address | Burra, South Australia |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs A H Roselyn Moxham, 129 Rundle Street, Kent Town, South Australia |
| Enlistment date | 4 August 1915 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Malwa on 2 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Australian Light Railway Operating Company |
| Fate | Returned to Australia 1 April 1919 |