| Regimental number | 179 |
| Place of birth | Aldershot England |
| Religion | Church of England |
| Occupation | Painter |
| Address | 37 Cameron Street, Balmain, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Mary Squires, Victoria Bridge, New Road, Blackwater, Hampshire, England |
| Enlistment date | 6 January 1916 |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, A Company |
| AWM Embarkation Roll number | 23/53/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 13 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 34th Battalion |
| Fate | Returned to Australia 5 November 1919 |
