| Regimental number | 16651 |
| Occupation | Labourer |
| Next of kin | Father, W J Moore, 40 Le Cren Street, Timaru |
| Rank on embarkation | Lance Corporal |
| Unit name | New Zealand Expeditionary Force, 28th Reinforcements (Second Draft), Canterbury Infantry Regiment, C Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Ulimaroa on |
| Sources | Nominal Roll Vol. 3: Roll 69, p. 22 |