| Regimental number | 19469 |
| Place of birth | Urana New South Wales |
| Religion | Church of England |
| Occupation | Shed overseer |
| Address | Narrandera, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs M Milthorpe, Somerset, Narrandera, New South Wales |
| Enlistment date | 1 August 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, October 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 1 May 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Field Ambulance |
| Fate | Effective abroad (still overseas) |
