| Regimental number | 4028 |
| Place of birth | Coonabarabran New South Wales |
| Religion | Church of England |
| Occupation | Station stockkeeper |
| Address | Mitchell, Queensland |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Friend, John Chas. Moore, The Peakes, Mitchell, Queensland |
| Enlistment date | 5 July 1916 |
| Rank on enlistment | Private |
| Unit name | 31st Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/48/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A36 Boonah on 21 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 31st Battalion |
| Fate | Returned to Australia 1 February 1918 |
