| Regimental number | 6971 |
| Place of birth | Warialda New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Elsmore, New South Wales |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrjs E Miller, Inverell, New South Wales |
| Previous military service | 6th Australian Light Horse |
| Enlistment date | 24 October 1916 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/30/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 25 November 1916 |
