| Regimental number | 4919 |
| Place of birth | Abo Finland |
| Religion | Methodist |
| Occupation | Farmer |
| Address | c/o Mr H Moore, Pennant Hills, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Friend, Mrs H Moore, Pennant Hills, New South Wales |
| Enlistment date | 25 November 1915 |
| Date of enlistment from Nominal Roll | 16 November 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on 8 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia 21 July 1917 |
