| Regimental number | 649 |
| Place of birth | Yaamba Queensland |
| Religion | Church of England |
| Occupation | Well sinker |
| Address | Planted Creek, Yaamba, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, J Moore, Planted Creek, Yaamba, Queensland |
| Enlistment date | 1 November 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 4, Reinforcement 11 |
| AWM Embarkation Roll number | 24/9/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 11 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Machine Gun Battalion |
| Fate | Returned to Australia 6 January 1919 |
