| Regimental number | 5155 |
| Place of birth | Burnside South Australia |
| Religion | Baptist |
| Occupation | Clerk |
| Address | Burnside Road, Burnside, South Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, A W Moore, Burnside Road, Burnside, South Australia |
| Enlistment date | 23 December 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A9 Shropshire on 25 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia 21 July 1917 |
