| Regimental number | 289 |
| Religion | Roman Catholic |
| Occupation | Farmer |
| Address | 'Nearana' via Leongatha, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Margaret Moore, 'Nearana' via Leongatha, Victoria |
| Enlistment date | 31 December 1914 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps - Hospital Transports (Number 1 Hospital Ship A61, "Kanowna") |
| AWM Embarkation Roll number | 26/104/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A61 Kanowna on n.d. |
| Rank from Nominal Roll | Private |
| Other details | See 20315 Samuel Henry MOORE |
