| Regimental number | 10780 |
| Place of birth | Woolaston England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 52 Hindley Street, Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Cousin, J Smith, 52 Hindley Street, Adelaide, South Australia |
| Enlistment date | 23 September 1915 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 6, Reinforcement 2 |
| AWM Embarkation Roll number | 13/34/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A19 Afric on 5 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Division Ammunition Column |
| Fate | Returned to Australia 25 September 1919 |
