| Regimental number | 1419 |
| Place of birth | Cheltenham England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Loftus Street, Garden Hill, Wollongong, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs M Mills, Fisse Bridge, Cheppenham, England |
| Enlistment date | 26 May 1916 |
| Rank on enlistment | Private |
| Unit name | Light Trench Mortar Battery, Reinforcement 3 |
| AWM Embarkation Roll number | 13/130/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on 25 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | AIF Headquarters, Non-Military Employment |
| Fate | Discharged 21 July 1919 |
