| Regimental number | 17735 |
| Place of birth | Sydney New South Wales |
| Religion | Methodist |
| Occupation | Fireman |
| Address | Kensington, New South Wales |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Aunt, Mrs Elizabeth V. Moon, Reubeana Cottage, Bunnerong Street, South Kensington, New South Wales |
| Enlistment date | 23 October 1916 |
| Rank on enlistment | Sapper |
| Unit name | March 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 10 May 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 1st Field Company Engineers |
| Fate | Returned to Australia 9 March 1919 |