| Regimental number | 6848A |
| Religion | Church of England |
| Occupation | Salesman |
| Address | Jolimont, Victoria |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs C M Moore, c/o Mrs Preston, 18 Jolimont Road, Jolimont, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/38/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on |