| Regimental number | 21046 |
| Place of birth | Armidale New South Wales |
| Religion | Church of England |
| Occupation | Chemist |
| Address | Neutral Bay, New South Wales |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs G E K Moors, 'Frome', Ben Boyd Road, Neutral Bay, New South Wales |
| Enlistment date | 10 October 1918 |
| Rank on enlistment | Staff Sergeant |
| Unit name | Staff Sergeant Dispensers |
| AWM Embarkation Roll number | 26/108/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Malta on 16 October 1918 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | 14th Australian General Hospital |
| Fate | Returned to Australia 29 April 1919 |