| Regimental number | 4857 |
| Place of birth | Warrington England |
| Religion | Church of England |
| Occupation | Baker |
| Address | 53 Wardie Street, South Fremantle, Western Australia |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs Mary Elizabeth Mills, 53 Wardie Street, South Fremantle, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Australian General Hospital, Special Reinforcements (Hospital and Convalescent Home) |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A62 Wandilla on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
