| Regimental number | 5691 |
| Place of birth | Essex, England |
| Religion | Church of England |
| Occupation | Coal lumper |
| Address | 73 Princess Street, Dawes' Point, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Mother, Mrs. E. Smith, Colchester Road, Wesley, Essex, England |
| Enlistment date | 17 January 1916 |
| Place of enlistment | Liverpool, New South Wales |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 3 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 20 June 1919 |
| Date of death | 3 June 1959 |
| Place of burial | Eastern Suburbs Memorial Park Cemetery |
