| Regimental number | 1815 |
| Place of birth | Branxholme Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Mt Bainbridge Road, Hamilton, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Mary Moore, Mount Bainbridge Road, Hamilton, Victoria |
| Enlistment date | 30 October 1914 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/22/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 14 April 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia 12 December 1918 |