| Regimental number | 6164 |
| Place of birth | Goolwa South Australia |
| Religion | Church of England |
| Occupation | Engine-driver |
| Address | Campbelltown, South Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs J Smith, c/o Mrs W Rowney, Campbelltown, South Australia |
| Enlistment date | 29 September 1916 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/44/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A19 Afric on 6 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 27th Battalion |
| Fate | Returned to Australia 11 January 1918 |