| Regimental number | 5169 |
| Place of birth | Port Macquarie New South Wales |
| Religion | Church of England |
| Occupation | Coke worker |
| Address | Bathurst, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, Mr J Miller, Towns Hotel, Bathurst, New South Wales |
| Enlistment date | 11 January 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Makarini on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Division Train |
| Fate | Returned to Australia 9 July 1919 |
