| Regimental number | 654 |
| Place of birth | Bulli New South Wales |
| Religion | Church of England |
| Occupation | Wheeler |
| Address | Main Road, Bulli, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs A Miller, Main Road, Bulli, New South Wales |
| Enlistment date | 1 December 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 4, Reinforcement 11 |
| AWM Embarkation Roll number | 24/9/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 11 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Machine Gun Battalion |
| Fate | Returned to Australia 6 September 1919 |
