| Regimental number | 4173 |
| Place of birth | Melbourne Victoria |
| Religion | Presbyterian |
| Occupation | Motor mechanic |
| Address | Bayswater, Western Australia |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Louise Ada Miller, Drake Street, Bayswater, Western Australia |
| Enlistment date | 6 December 1915 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A38 Ulysses on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 4 May 1917 |
