| Regimental number | 3612 |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | South Woodburn, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, George Moore, North Woodburn, Richmond River, New South Wales |
| Previous military service | 4th ALH |
| Enlistment date | 22 June 1917 |
| Rank on enlistment | Private |
| Unit name | 55th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/72/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 31 October 1917 |
| Regimental number from Nominal Roll | 3612A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | AIF Headquarters |
| Fate | Effective abroad (still overseas) |
