| Regimental number | 6594 |
| Place of birth | Koroit, Victoria |
| Religion | Methodist |
| Occupation | Tobacco worker |
| Address | 106 Nelson Road, South Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs M J Smith, 106 Nelson Road, South Melbourne, Victoria |
| Enlistment date | 31 January 1916 |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 2 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia 27 July 1917 |