| Regimental number | 4858 |
| Religion | Church of England |
| Occupation | Indent agent |
| Address | Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Sister, Miss K E Miles, Wentworth, Cedars Road, Hampton, Wick, Middlesex, England |
| Enlistment date | 20 May 1915 |
| Date of enlistment from Nominal Roll | 27 May 1915 |
| Rank on enlistment | Private |
| Unit name | No 1 Australian General Hospital |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board A62 Wandilla on 25 June 1915 |
| Rank from Nominal Roll | Warrant Officer (Class I) |
| Unit from Nominal Roll | 2nd Australian Auxiliary Hospital |
| Fate | Effective abroad (still overseas) |