| Regimental number | 17813 |
| Place of birth | Fitzroy Victoria |
| Religion | Presbyterian |
| Occupation | Builder |
| Address | Northcote, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, Samuel Millsom, 81 Mansfield Street, Northcote, Victoria |
| Previous military service | 10th Field Company Army Engineers |
| Enlistment date | 13 October 1916 |
| Rank on enlistment | Sapper |
| Unit name | March 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 10 May 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 10th Field Company Engineers |
| Fate | Returned to Australia 22 July 1919 |
