| Regimental number | 3178 |
| Place of birth | Dubbo New South Wales |
| Religion | Church of England |
| Occupation | Clipper |
| Address | Alexander Street, Kurri Kurri, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs. M.G.M. Moore, McLachlan Street, East Orange, New South Wales |
| Enlistment date | 27 March 1917 |
| Rank on enlistment | Private |
| Unit name | 6th Light Horse Regiment, 25th Reinforcement |
| AWM Embarkation Roll number | 10/11/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A42 Boorara on 10 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Light Horse Regiment |
| Fate | Returned to Australia 15 February 1918 |