| Regimental number | 60528 |
| Place of birth | Macksville New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Bulengary via Macksville, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs R Smith, Bulengary via Macksville, New South Wales |
| Enlistment date | 3 June 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 17 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A41 Bakara on 4 September 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 16 January 1919 |
