| Regimental number | 3378 |
| Religion | Church of England |
| Occupation | Mine deputy |
| Address | North Lambton, New South Wales |
| Marital status | Married |
| Age at embarkation | 46 |
| Next of kin | Wife, Mrs J Smith, George Street, North Lambton, New South Wales |
| Enlistment date | 7 April 1916 |
| Rank on enlistment | Sapper |
| Unit name | |
| AWM Embarkation Roll number | 16/13/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 22 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Tunnelling Company |
| Fate | Returned to Australia 4 May 1917 |
| Miscellaneous details (Nominal Roll) | *Second entry both matched |