
| Religion | Methodist |
| Occupation | Shop assistant |
| Address | Palm Avenue, Sandgate, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mrs A J Mills, Palm Avenue, Sandgate, New South Wales |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 3, Reinforcement 11 |
| AWM Embarkation Roll number | 13/31/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on |
| Rank from Nominal Roll | Gunner |