| Regimental number | 4006 |
| Place of birth | Christchurch, New Zealand |
| Religion | Church of England |
| Occupation | Driver |
| Address | Bay Street, Botany, New South Wales |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Brother, A Moore, Bay Street, Botany, New South Wales |
| Enlistment date | |
| Place of enlistment | Liverpool, New South Wales |
| Rank on enlistment | Private |
| Unit name | 1st Field Ambulance, Reinforcement 6 |
| AWM Embarkation Roll number | 26/44/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A65 Clan Mcewen on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Field Ambulance |
| Fate | Returned to Australia |
| Date of death |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
