| Regimental number | 5769 |
| Place of birth | Wee Waa New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Lynn Street, Boggabri, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, W Small, Lynn Street, Boggabri, New South Wales |
| Enlistment date | 6 August 1915 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/30/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A46 Clan Macgillivray on 3 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Returned to Australia 19 December 1918 |
| Date of death | 19 September 1977 |
| Place of burial | Northern Suburbs Crematorium |
