| Regimental number | 6143 |
| Place of birth | Drake New South Wales |
| Religion | Church of England |
| Occupation | Glazier |
| Address | Boorak, Tenterfield, New South Wales |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs Marjorie Hannah Smith, Boorak Tenterfield, New South Wales |
| Enlistment date | 23 August 1916 |
| Date of enlistment from Nominal Roll | 28 July 1916 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/34/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on 25 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 25 March 1919 |
