| Regimental number | 67 |
| Religion | Methodist |
| Occupation | Baker |
| Address | Burnie, Tasmania |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs L M Smith, Burnie, Tasmania |
| Enlistment date | 22 February 1916 |
| Rank on enlistment | Private |
| Unit name | 40th Battalion, Army Medical Corps |
| AWM Embarkation Roll number | 23/57/1 |
| Embarkation details | Unit embarked from Hobart, Tasmania, on board HMAT A35 Berrima on 1 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 40th Battalion |
| Fate | Returned to Australia 30 April 1919 |
