| Regimental number | 6133 |
| Place of birth | Maidstone, England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Serpentine Post Office, Sangus Creek, Victoria |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs E Smith, Serpentine Post Office, Sangus Creek, Victoria |
| Enlistment date | 24 February 1916 |
| Place of enlistment | Prahan, Victoria |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A28 Miltiades on 1 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia 20 December 1917 |
