| Regimental number | 1094 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 17 Martin Street, Paddington, Sydney, New South Wales |
| Age at embarkation | 27 |
| Next of kin | Gladys Surguy, 17 Martin Street, Paddington, Sydney, New South Wales |
| Enlistment date | 8 September 1914 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, E Company |
| AWM Embarkation Roll number | 23/21/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A14 Euripides on 20 October 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 31 August 1916 |