| Regimental number | 50763A |
| Place of birth | Ipswich Queensland |
| Religion | Methodist |
| Occupation | Joiner |
| Address | Raff Street, Toowoomba, Queensland |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs B Suthers, Raff Street, Toowoomba, Queensland |
| Enlistment date | 22 April 1918 |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 1 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 8 May 1918 |
| Regimental number from Nominal Roll | 50673 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Machine Gun Battalion |
| Fate | Effective abroad (still overseas) |
