| Regimental number | 66576 |
| Religion | Roman Catholic |
| Occupation | Cook |
| Address | Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Father, G Miller, Waikiki, New Zealand |
| Enlistment date | |
| Rank on enlistment | Corporal |
| Unit name | New South Wales Reinforcement 21 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A36 Boonah on |
| Rank from Nominal Roll | Corporal |