| Regimental number | 67210 |
| Place of birth | Queanbeyan New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 27 Denison Street, Newtown, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, J Moore, 27 Denison Street, Newtown, Sydney, New South Wales |
| Previous military service | 5th Battalion 4th Infantry |
| Enlistment date | 13 March 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 24 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Wyreema on 14 October 1918 |
| Rank from Nominal Roll | Private |
