| Regimental number | 59996 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Wharf labourer |
| Address | Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs E Mills, 41 Little Albion Street, Surry Hills, New South Wales |
| Enlistment date | 15 March 1918 |
| Date of enlistment from Nominal Roll | 20 February 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 15 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Gaika on 30 July 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 1 August 1919 |