| Regimental number | 6790 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Steward |
| Address | 48 Mill Hill Road, Waverley, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs J Hiller, 3 The Laurels, Ballards Lane, Finchley, London, England |
| Enlistment date | 21 July 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 5 November 1917 |
