| Regimental number | 9722 |
| Religion | Church of England |
| Occupation | Plumber |
| Address | Abbotsford, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, H W Smith, Myee, Walton Crescent, Abbotsford, New South Wales |
| Enlistment date | 5 April 1915 |
| Rank on enlistment | Private |
| Unit name | Dermatological Hospital, 3rd Reinforcement |
| AWM Embarkation Roll number | 26/103/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 11 March 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
