| Regimental number | 2216 |
| Place of birth | Narrabri New South Wales |
| Religion | Church of England |
| Occupation | Grazier |
| Address | East Burren, Burren Junction, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Zillah Moore, same address |
| Enlistment date | 31 August 1915 |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 15th Reinforcement |
| AWM Embarkation Roll number | 10/12/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 11 March 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 1st MTS |
| Fate | Returned to Australia 20 May 1919 |
