| Regimental number | 5779 |
| Place of birth | Liverpool New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Bloomfield Street, Cabramatta, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | mo, Mrs. Emily Rebecca Smith, Bloomfield Street, Cabramatta, New South Wales |
| Enlistment date | 9 December 1915 |
| Rank on enlistment | Sapper |
| Unit name | Divisional Signal Company 1, Reinforcement 14 |
| AWM Embarkation Roll number | 22/11/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 20 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 13 July 1919 |
