| Regimental number | 3988 |
| Place of birth | Dunedin New Zealand |
| Religion | Church of England |
| Occupation | Driver |
| Address | c/o Mrs Smith, 3 High Street, Willoughby, New South Wales |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs A M Smith, 3 High Street, Willoughby, New South Wales |
| Enlistment date | 4 September 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/18/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Mooltan on 11 December 1915 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia 6 September 1919 |
