| Regimental number | 1204 |
| Place of birth | Bulli New South Wales |
| Religion | Church of England |
| Occupation | Wheeler |
| Address | Gilless Street, Kurri Kurri, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Phove Smith, Gilless Street, Kurri Kurri, New South Wales |
| Enlistment date | 7 December 1915 |
| Rank on enlistment | Private |
| Unit name | 35th Battalion, D Company |
| AWM Embarkation Roll number | 23/52/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 1 May 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 35th Battalion |
| Fate | Returned to Australia 11 May 1919 |
