| Regimental number | 7179 |
| Place of birth | Muswellbrook New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Carrington, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs F Smith, Gibbs Street, Carrington, Newcastle, New South Wales |
| Enlistment date | 16 October 1917 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/35/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on 19 December 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia 17 December 1918 |