| Regimental number | 2100 |
| Place of birth | Sheerness England |
| Religion | Methodist |
| Occupation | Engineer |
| Address | 15 Union Street, East Balmain, New South Wales |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs Gertrude Bessie Moxon, 15 Union Street, East Balmain, New South Wales |
| Enlistment date | 27 March 1916 |
| Date of enlistment from Nominal Roll | 20 March 1916 |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/53/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Engineers Sqd AFC |
| Fate | Returned to Australia 6 May 1919 |
