| Regimental number | 12410 |
| Place of birth | Hindmarsh South Australia |
| Religion | Congregational |
| Occupation | Labourer |
| Address | Mounty Lofty, South Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, J Smith, Mount Lofty PO, Mount Lofty, South Australia |
| Previous military service | 74th Infantry |
| Enlistment date | 16 December 1914 |
| Rank on enlistment | Driver |
| Unit name | Army Service Corps July 1916 Reinforcements |
| AWM Embarkation Roll number | 25/108/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on 12 August 1916 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A42 Boorara on 19 August 1916 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A15 Port Sydney on 7 September 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | Australian Army Service Corps |
| Fate | Returned to Australia 4 June 1919 |