| Regimental number | 3611 |
| Place of birth | Rockhampton Queensland |
| Religion | Roman Catholic |
| Occupation | Teamster |
| Address | Kyogle, New South Wales |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs Sylvester Moy, c/o Mrs Harriett Barrow, Kyogle, Richmond River, New South Wales |
| Enlistment date | 15 May 1917 |
| Rank on enlistment | Private |
| Unit name | 55th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/72/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 31 October 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Employment Company |
| Fate | Returned to Australia 5 March 1919 |
