| Regimental number | 20106 |
| Place of birth | Wauchope New South Wales |
| Religion | Methodist |
| Occupation | School teacher |
| Address | Hastings River, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, E Suters, Beechworth, Hastings River, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Light Horse Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
