| Regimental number | 3728 |
| Place of birth | Cheshire England |
| Religion | Church of England |
| Occupation | Camel driver |
| Address | Kannawalkaninna Creek via Hergott, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs M Miller, Clanver Green Lane, Timperly, England |
| Enlistment date | 24 August 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/29/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT RMS Malwa on 2 December 1915 |
| Rank from Nominal Roll | Private |
