| Regimental number | 207 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Bootmaker |
| Address | West Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs E Miers, 39 Rosslyn Street, West Melbourne, Victoria |
| Previous military service | 26th Signal Company Army Engineers |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | No 1 Australian General Hospital |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board A62 Wandilla on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Field Ambulance |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |