| Regimental number | 611215 |
| Place of birth | Marylebone England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Diamond Hill, Bendigo, Victoria |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs R W Smallman, Diamond Hill, Bendigo, Victoria |
| Enlistment date | 7 June 1918 |
| Rank on enlistment | Private |
| Unit name | 10th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A37 Barambah on 31 August 1918 |
| Regimental number from Nominal Roll | 61215 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Battalion |
| Fate | Returned to Australia 1 August 1919 |