| Regimental number | 2171 |
| Place of birth | Bundaberg Queensland |
| Religion | Roman Catholic |
| Occupation | Blacksmith |
| Address | Bundaberg, Queensland |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs Nora Mills, North Bundaberg, Queensland |
| Enlistment date | 7 March 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Pioneer Battalion, Reinforcement 3 |
| AWM Embarkation Roll number | 14/16/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A46 Clan Macgillivray on 1 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 6 June 1918 |
