| Regimental number | 2653 |
| Place of birth | Milsted, England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Brandon, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs N Smith, Millstead, Sittingbourne, Kent, England |
| Enlistment date | 7 August 1916 |
| Place of enlistment | Townsville, Queensland |
| Rank on enlistment | Private |
| Unit name | 41st Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/58/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on 17 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 41st Battalion |
| Fate | Returned to Australia 25 January 1919 |
