| Regimental number | 67435 |
| Place of birth | Reading England |
| Religion | Baptist |
| Occupation | Hairdresser |
| Address | 78 Amhurst Street, North Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs C M M Miller, 78 Amhurst Street, North Sydney, New South Wales |
| Enlistment date | 9 June 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 25 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Carpentaria on 7 November 1918 |
| Rank from Nominal Roll | Private |