| Regimental number | 8102 |
| Place of birth | Herefordshire, England |
| Religion | Church of England |
| Occupation | Civil engineer |
| Address | Yerenbah, Bowrae, New South Wales |
| Marital status | Single |
| Age at embarkation | 45 |
| Next of kin | Sister, C Smith, Yerenbah, Bowrae, New South Wales |
| Enlistment date | |
| Place of enlistment | Liverpool, New South Wales |
| Rank on enlistment | Private |
| Unit name | 2nd Australian General Hospital, Special Reinforcements |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A17 Port Lincoln on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | No 2 Australian General Hospital |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |