| Regimental number | 4775 |
| Religion | Methodist |
| Occupation | Chemist |
| Address | O'Connell and Erskine Streets, North Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs E Smith, O'Connell and Erskine Streets, North Melbourne, Victoria |
| Enlistment date | 9 November 1915 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/37/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 13 April 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
