| Regimental number | 69055 |
| Place of birth | Hilton, South Australia |
| Religion | Church of England |
| Occupation | Jockey |
| Address | 3 Eliza Street, Burnley, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, S Smith, 3 Eliza Street, Burnley, Victoria |
| Enlistment date | 13 August 1918 |
| Rank on enlistment | Private |
| Unit name | 16th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Carpentaria on 7 November 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
