| Regimental number | 2617 |
| Place of birth | Allendale Victoria |
| Religion | Church of England |
| Occupation | Van driver |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, C M Moore, 165 Wellington Road, Jolimont, Victoria |
| Enlistment date | 12 July 1915 |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/46/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A68 Anchises on 14 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 29th Battalion |
| Fate | Returned to Australia 7 June 1918 |