| Regimental number | 3109 |
| Place of birth | N/A Western Australia |
| Religion | Church of England |
| Occupation | Gold miner |
| Address | Toowoomba, Queensland |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Elizabeth Smith, c/o Mrs Elizabeth Stonehill, Hannan Street, Kalgoorlie, Western Australia |
| Enlistment date | 27 September 1916 |
| Rank on enlistment | Private |
| Unit name | 41st Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/58/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 41st Battalion |
| Fate | Returned to Australia 31 January 1918 |
