| Regimental number | 1353 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | ... |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs Amy Miller, 205 Grote Street, Adelaide, South Australia |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | 16th Battalion, F Company |
| AWM Embarkation Roll number | 23/33/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Troopship A40 Ceramic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 62 Date: |