| Regimental number | 13098 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Motorman |
| Address | Rundle Street, Kent Town, South Australia |
| Marital status | Single |
| Next of kin | Mother, Mrs Catherine Jane Miles, 10 Tintern Street, Brixton, London, England |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | MED26.54.1SUPP |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 11th Field Ambulance |
| Fate | Returned to Australia |
| Other details |
War service: Western Front |