| Regimental number | *21048 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Sister, Mrs F V Moyles, 'Keston', Bellevue Street, North Parramatta, New South Wales |
| Enlistment date | 16 April 1918 |
| Date of enlistment from Nominal Roll | 10 May 1918 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Sea Transport Staff, Section 10 (Mental) |
| AWM Embarkation Roll number | 26/104/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 2 November 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | No 10 Sea Transport Staff |
| Fate | Returned to Australia 28 March 1919 |
