
| Regimental number | 4795 |
| Date of birth | |
| Place of birth | Bridgnorth, England |
| Religion | Protestant |
| Occupation | Labourer |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs Lilian Smallman, Myrniong, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia |
| Discharge date | |
| Other details |
Attested at Ballan, Victoria Served 1474 days (1186 days of which were spent abroad) Discharged medically unfit |
| Date of death | |
| Age at death | 87 |