| Regimental number | 5028 |
| Place of birth | Mudgee New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Home Rule, Mudgee, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs I Smith, Home Rule, Mudgee, New South Wales |
| Enlistment date | 27 January 1916 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A31 Ajana on 5 July 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Date of death | 25 July 1963 |
| Place of burial | Coolah Cemetery |
