| Regimental number | 2150 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Hyde Park, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Brother, James Chas. Moen, 154 Liverpool Street, Hyde Park, Sydney, New South Wales |
| Enlistment date | 11 September 1915 |
| Rank on enlistment | Private |
| Unit name | 31st Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/48/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 18 February 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 31st Battalion |
| Fate | Returned to Australia 27 September 1917 |
