| Regimental number | 4494 |
| Place of birth | Goulburn New South Wales |
| Religion | Roman Catholic |
| Occupation | Electric fitter |
| Address | 106 St James Road, Waverley, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs Annie Miller, 106 St James Road, Waverley, Sydney, New South Wales |
| Enlistment date | 8 May 1915 |
| Date of enlistment from Nominal Roll | 29 April 1915 |
| Unit name | No 3 Australian General Hospital |
| AWM Embarkation Roll number | 26/67/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on 15 May 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 13 February 1917 |
