| Regimental number | 13323 |
| Place of birth | Geelong Victoria |
| Religion | Church of England |
| Occupation | Boot operator |
| Address | North Fitzroy, Victoria |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs E M Mildern, 477 Rae Street, North Fitzroy, Victoria |
| Enlistment date | 4 September 1915 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A63 Karoola on 7 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Infantry Brigade Headquarters |
| Fate | Returned to Australia 12 May 1919 |
