| Regimental number | 1946 |
| Place of birth | Geelong Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs R Suares, 412 Legar Street, Ballarat, Victoria |
| Enlistment date | 18 August 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 13th Reinforcement |
| AWM Embarkation Roll number | 10/9/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 20 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Field Artillery Brigade |
| Fate | Returned to Australia 2 March 1919 |
