| Regimental number | 5668 |
| Place of birth | Castlemaine Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 42 Argo Street, South Yarra, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs H Smith, 42 Argo Street, South Yarra, Victoria |
| Enlistment date | 22 March 1916 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/39/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 25 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Returned to Australia 20 December 1917 |
