| Regimental number | 9297 |
| Place of birth | Newcastle New South Wales |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | 1 Rawson Street, Hamilton, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Anne Smith, 1 Rawson Street, Hamilton, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Dermatological Hospital Reinforcement 1 |
| AWM Embarkation Roll number | 26/69/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Field Ambulance |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in New South Wales Garden of Remembrance |
| Date of death |