| Regimental number | 7019 |
| Place of birth | West Maitland New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Laurieton, near Manning River, New South Wales |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Mother, Mrs F Mills, Laurieton near Manning River, New South Wales |
| Enlistment date | 29 October 1916 |
| Date of enlistment from Nominal Roll | 29 September 1916 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 25 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 19 June 1919 |
