| Regimental number | 4105 |
| Place of birth | Melbourne Victoria |
| Religion | Methodist |
| Occupation | Painter |
| Address | 5 Bayview Street, Elsternwick, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs S Miller, 5 Bayview Street, Elsternwick, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Field Ambulance, Reinforcement 7 |
| AWM Embarkation Roll number | 26/45/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A57 Malakuta on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
