| Regimental number | 13152 |
| Place of birth | Beaufort, Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Kalgoorlie, Western Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Sister, Miss R Smith, Adeline Lease, Half Way, Kalgoorlie, Western Australia |
| Enlistment date | 21 January 1916 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A63 Karoola on 14 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Field Ambulance |
| Fate | Returned to Australia 19 June 1919 |
