| Regimental number | 69375 |
| Place of birth | Richmond Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 7 Balmain Street, Richmond, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, E Smith, 7 Balmain Street, Richmond, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 17th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Miscellaneous information from cemetery records | Plaque in Victorian Garden of Remembrance |
| Date of death |