| Regimental number | *221 |
| Place of birth | Auckland, New Zealand |
| Religion | Roman Catholic |
| Occupation | Stationer |
| Address | 48 Higginbotham Street, Coburg, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs M L Moore, 48 Higginbotham Street, Coburg, Victoria |
| Enlistment date | |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | Private |
| Unit name | 3rd Field Ambulance, 6th Reinforcement |
| AWM Embarkation Roll number | 26/46/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A66 Uganda on |
| Rank from Nominal Roll | Private |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
