| Regimental number | 636 |
| Religion | Roman Catholic |
| Occupation | Horse breaker |
| Address | Mullwalla PO, via Corowa, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | James F. Miller, Narrandera PO, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 1st Reinforcement |
| AWM Embarkation Roll number | 10/12/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on |
| Rank from Nominal Roll | Private |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
