| Regimental number | 6822 |
| Place of birth | Sandy Camp New South Wales |
| Religion | Church of England |
| Occupation | Overseer |
| Address | Simpson Street, Bondi, New South Wales |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs D Miller, Lyme Regis Simpson Street, Bondi, New South Wales |
| Enlistment date | 5 September 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia 26 February 1917 |
