| Regimental number | 29986 |
| Place of birth | Hobart Tasmania |
| Religion | Church of England |
| Occupation | Gentleman |
| Address | Mayne Street, Invermay, Launceston, Tasmania |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs H L Moore, Wattle Grove, 71 Mayne Street, Invermay, Launceston, Tasmania |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | Howitzer Brigade 120 |
| AWM Embarkation Roll number | 13/136/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A60 Aeneas on |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Recommendations (Medals and Awards) |
Military Medal Recommendation date: |
| Fate | Returned to Australia |