| Regimental number | 1016 |
| Place of birth | Toowoomba Queensland |
| Religion | Church of England |
| Occupation | Bridge carpenter |
| Address | Manly, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Margaret Moore, Goomeri, Queensland |
| Enlistment date | 31 December 1915 |
| Rank on enlistment | Private |
| Unit name | 41st Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/58/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on 18 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 30 January 1918 |
