| Regimental number | 1902 |
| Place of birth | Port Pirie South Australia |
| Religion | Baptist |
| Occupation | Turner |
| Address | c/o Mrs E Miller, Port Pirie, South Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Emily, Miller, Port Pirie, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/29/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A20 Hororata on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 52nd Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | West Terrace Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
