| Regimental number | 21757 |
| Place of birth | Casterton Victoria |
| Religion | Presbyterian |
| Occupation | Flour miller |
| Address | Blackburn, Victoria |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs M I Millstead, c/o J Plate, Whel Street, Mt Gambier, South Australia |
| Enlistment date | 2 November 1917 |
| Date of enlistment from Nominal Roll | 1 November 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 28 August 1919 |
