| Regimental number | 69366 |
| Place of birth | Maffra Victoria |
| Religion | Presbyterian |
| Occupation | Bank clerk |
| Address | Maffra, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, A E Moon, Maffra, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 17th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on |
| Rank from Nominal Roll | Private |