| Regimental number | 6624 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Stanmore, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, J Small, 'Adaville', Albany Road, Stanmore, New South Wales |
| Enlistment date | 16 October 1916 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/36/4 |
| 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 | Australian Corps Work Party |
| Fate | Returned to Australia 6 September 1919 |
