| Regimental number | 166 |
| Place of birth | Fortrose New Zealand |
| Religion | Church of England |
| Occupation | Ship's officer |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Agnes Millard, Fortrose, Southland, New Zealand |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Field Ambulance |
| AWM Embarkation Roll number | 26/45/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Field Ambulance |
| Fate | Discharged |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
