| Regimental number | 3000 |
| Religion | Methodist |
| Occupation | Driver |
| Address | Sutherland Street, Geelong, Victoria |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs Lilian Alic Smith, Sutherland Street, Geelong, Victoria |
| Enlistment date | 29 February 1916 |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/46/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |