| Regimental number | 6092 |
| Place of birth | Mackay Queensland |
| Religion | Church of England |
| Occupation | Tailor |
| Address | Owens Creek, Pinnacle Mackay, Queensland |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs C Smith, Pinnacle via Mackay, Queensland |
| Enlistment date | 25 January 1916 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A50 Itonus on 8 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 23 September 1919 |
