| Regimental number | 39119 |
| Place of birth | Glenferry Victoria |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Kurginn, Corrigin via Wickepin, Western Australia |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs Alice Smith, c/o Mrs J Dickenson, Bendering, Corrigin via Wickepin, Western Australia |
| Enlistment date | 6 March 1917 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade, Reinforcement 33 |
| AWM Embarkation Roll number | 13/128/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Indarra on 26 November 1917 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 1st Divisional Ammunition Column |
| Fate | Returned to Australia 21 June 1919 |
