| Regimental number | 1958 |
| Place of birth | Waterloo New South Wales |
| Religion | Church of England |
| Occupation | Railway employee |
| Address | Leura, New South Wales |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs Rose Mary Miller, 'Rosebank', Blackheath Street, Leura, New South Wales |
| Enlistment date | 21 February 1916 |
| Date of enlistment from Nominal Roll | 5 February 1916 |
| Rank on enlistment | Private |
| Unit name | 45th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/62/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 22 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 45th Battalion |
| Fate | Returned to Australia 06/--/1919 |
