| Regimental number | 5211 |
| Place of birth | Forbes New South Wales |
| Religion | Roman Catholic |
| Occupation | Farmer |
| Address | Bidgerebong, via Forbes, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, Mr E J Smith, Bidgerebong, via Forbes, New South Wales |
| Enlistment date | 6 January 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Makarini on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 16 March 1918 |
