| Regimental number | 1452 |
| Religion | Church of England |
| Occupation | Engineer |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Amy Elizabeth Millbank c/o Inspector F W Millbank, GPO Perth, Western Australia |
| Enlistment date | 23 November 1914 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/28/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A50 Itonus on 22 February 1915 |
| Rank from Nominal Roll | Private |
