| Regimental number | 2370 |
| Place of birth | Perth Western Australia |
| Religion | Wesleyan |
| Occupation | Cellarman |
| Address | 47 Lord Street, Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | jSi, Kiziah Squires, Smith Street, Highgate Hill, Western Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 43rd Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/60/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A16 Port Melbourne on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 43rd Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
