| Regimental number | 4076 |
| Place of birth | Gerringong New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 49 Margaret Street, Manly, New South Wales |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Ethel Mary Miller, 49 Margaret Street, Manly, New South Wales |
| Enlistment date | 8 May 1916 |
| Date of enlistment from Nominal Roll | 1 May 1916 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/47/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia 21 July 1917 |
