| Regimental number | 5375 |
| Place of birth | Dilford England |
| Religion | Church of England |
| Occupation | Japanner |
| Address | 44 Barret Street, Albert Park, Victoria |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Frances Lydia Millen, 44 Barret Street, Albert Park, Victoria |
| Enlistment date | 1 April 1916 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/38/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia 8 April 1917 |
