| Regimental number | 10310 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Mechanic |
| Address | Northcote, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs G F Moore, 79 Harold Street, Northcote, Victoria |
| Enlistment date | 10 January 1916 |
| Date of enlistment from Nominal Roll | 9 December 1915 |
| Rank on enlistment | Staff Sergeant |
| Unit name | Dental Details |
| AWM Embarkation Roll number | 26/105/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 1 March 1916 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | Dental Corps |
| Fate | Discharged 1 May 1919 |
