| Regimental number | 641 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Meat grader |
| Address | Footscray, Victoria |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs Ellen Smith, 105 Droop Street, Footscray, Victoria |
| Enlistment date | 9 February 1916 |
| Date of enlistment from Nominal Roll | 9 March 1916 |
| Rank on enlistment | Private |
| Unit name | 39th Battalion, B Company |
| AWM Embarkation Roll number | 23/56/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 27 May 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 39th Battalion |
| Fate | Returned to Australia 12 May 1919 |