| Regimental number | 6010 |
| Religion | Methodist |
| Occupation | Chemist's assistant |
| Address | Longreach, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, F Mills, Longreach, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1 Australian General Hospital 1-6 Special Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on |
| Rank from Nominal Roll | Private |