| Regimental number | 490 |
| Religion | Church of England |
| Occupation | Porter |
| Address | West Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mrs Annie Sutor, 98 Stanley Street, West Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, C Squadron |
| AWM Embarkation Roll number | 10/14/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A10 Karroo on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
