| Regimental number | 4857 |
| Religion | Church of England |
| Occupation | Baker |
| Address | South Fremantle, Western Australia |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs M E Mills, 53 Wardie Street, Fremantle, Western Australia |
| Enlistment date | 20 May 1915 |
| Date of enlistment from Nominal Roll | 14 June 1915 |
| Rank on enlistment | Private |
| Unit name | No 1 Australian General Hospital |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board A62 Wandilla on 25 June 1915 |
| Rank from Nominal Roll | Bombardier |
| Unit from Nominal Roll | 11th Field Artillery Brigade |
| Fate | Returned to Australia 31 July 1918 |