| Regimental number | 4809 |
| Place of birth | Wagga Wagga New South Wales |
| Religion | Church of England |
| Occupation | Station hand |
| Address | Overne, via Tarcutta, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, R J Middleton, Fairview, Overne, via Tarcutta, New South Wales |
| Enlistment date | 9 November 1916 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/47/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia 26 September 1917 |
