| Regimental number | 7082 |
| Place of birth | Yorkshire, England |
| Religion | Methodist |
| Occupation | Dealer |
| Address | Middle Brighton, Victoria |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs E Smith, 9 Hanby Street, Middle Brighton, Victoria |
| Enlistment date | 9 October 1916 |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/23/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 23 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Battalion |
| Fate | Returned to Australia 4 May 1917 |