| Regimental number | 3065 |
| Place of birth | Goulburn New South Wales |
| Religion | Methodist |
| Occupation | Farmer |
| Address | The Anchorage, St. Mary's, New South Wales |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs. Elsie Elizabeth Miller, c/o Mrs. Ezzy, The Anchorage, St. Mary's, New South Wales |
| Enlistment date | 21 November 1916 |
| Rank on enlistment | Private |
| Unit name | 6th Light Horse Regiment, 23rd Reinforcement |
| AWM Embarkation Roll number | 10/11/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Karmala on 3 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Light Horse Regiment |
| Fate | Returned to Australia 19 January 1919 |
