| Regimental number | 1700 |
| Place of birth | Inverell New South Wales |
| Religion | Church of England |
| Occupation | Carter |
| Address | Cootamundra, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, H Moore, Herman Street, Kogarah, New South Wales |
| Enlistment date | 1 December 1915 |
| Rank on enlistment | Private |
| Unit name | 55th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/72/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 14 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Returned to Australia 17 March 1919 |
