| Regimental number | 3180 |
| Place of birth | Wagga Wagga New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Milbrulong via The Rock, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Bertha Miosge, Milbrulong via The Rock, New South Wales |
| Enlistment date | 17 October 1916 |
| Date of enlistment from Nominal Roll | 13 October 1916 |
| Rank on enlistment | Private |
| Unit name | 55th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/72/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic on 11 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Returned to Australia 8 January 1919 |
