| Regimental number | 640 |
| Place of birth | Widness Lancashire England |
| Religion | Methodist |
| Occupation | Painter |
| Address | Mary Street, Rosalie, Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs Ann Jane Miller, Mary Street, Rosalie, Brisbane, Queensland |
| Enlistment date | 27 October 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 13, Reinforcement 11 |
| AWM Embarkation Roll number | 24/18/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 11 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Machine Gun Battalion |
| Fate | Returned to Australia 19 August 1919 |
