| Regimental number | 4764 |
| Religion | Presbyterian |
| Occupation | Bricklayer |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs Desry K Miller, Chelsea, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on |
| Rank from Nominal Roll | Private |