| Regimental number | 4212 |
| Occupation | Upholsterer |
| Address | 15 Susan Street, Newtown, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs C. Mills, 15 Susan Street, Newtown, Sydney, |
| Enlistment date | 1 September 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A6 Aeneas on 20 December 1915 |
| Regimental number from Nominal Roll | 4212A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 54th Battalion |
| Fate | Returned to Australia 12 April 1916 |
