| Regimental number | 4572 |
| Place of birth | Mowbray, England |
| Religion | Church of England |
| Occupation | Carrier |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs M Smith, Melton Mowbray, England |
| Enlistment date | 10 September 1915 |
| Place of enlistment | Brisbane, Queensland |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A62 Wandilla on 31 January 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 14th Field Company Engineers |
| Fate | Returned to Australia 19 February 1919 |
