| Regimental number | 66759 |
| Place of birth | Gerringong New South Wales |
| Religion | Methodist |
| Occupation | Motor driver |
| Address | Brown Street, Campbelltown, New South Wales |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs L V Miller, Oxley Street, Campbelltown, New South Wales |
| Enlistment date | 20 August 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 22 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Wyreema on 14 October 1918 |
| Rank from Nominal Roll | Private |
