| Regimental number | 4734 |
| Place of birth | Surrey England |
| Religion | Baptist |
| Occupation | Joiner |
| Address | c/o Mrs H Smith, "Perreau", Hardy Street, South Ashfield, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Brother, E Michell, 20 Douglas Street, Dulwich Hill, New South Wales |
| Enlistment date | 18 December 1915 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/37/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 13 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 20th Battalion |
| Fate | Returned to Australia 16 January 1919 |
