| Regimental number | 9143A |
| Religion | Church of England |
| Occupation | Shunter |
| Address | Windsor, Victoria |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs J Smith, 14 Earl Street, Windsor, Victoria |
| Enlistment date | 11 September 1914 |
| Rank on enlistment | Private |
| Unit name | Convalescent Depot, Harefield Park, London, and Special Reinforcements (Feb 1915 - March 1916) |
| Embarkation details | Unit embarked from Melbourne, Vic, on board HMAT A63 Karoola on 1 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Machine Gun Battalion |
| Fate | Returned to Australia 11 January 1918 |
