| Regimental number | 4287 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Cook |
| Address | Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs C Smith, Keen Street, Lismore, New South Wales |
| Enlistment date | 3 September 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on 3 January 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
