| Regimental number | 11909 |
| Place of birth | Port Melbourne Victoria |
| Religion | Church of England |
| Occupation | Chauffeur |
| Address | 7 Effingham Road, Newport, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Father, R. Smith, same address |
| Enlistment date | 10 April 1916 |
| Rank on enlistment | Motor Transport Driver |
| Unit name | Supply Column 3, Army Service Corps 26 |
| AWM Embarkation Roll number | 25/29/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A19 Afric on 5 June 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
