| Regimental number | 20051 |
| Place of birth | Sydney New South Wales |
| Religion | Methodist |
| Occupation | Medical student |
| Address | Clarence River, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, A Miles, Lawrence, Clarence River, New South Wales |
| Enlistment date | 27 July 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Field Ambulance |
| Fate | Returned to Australia 25 February 1919 |
