| Regimental number | 9672 |
| Place of birth | Mildura Victoria |
| Religion | Church of England |
| Occupation | Engineer |
| Address | Renmark, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Sarah Jane Smith, Renmark, South Australia |
| Enlistment date | 24 January 1916 |
| Rank on enlistment | Driver |
| Unit name | 11th Field Company Engineers, Headquarters |
| AWM Embarkation Roll number | 14/30/1 |
| Embarkation details | Unit embarked from Outer Harbour, South Australia, on board HMAT A29 Suevic on 31 May 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | Australian Motor Transport Section |
| Fate | Effective abroad (still overseas) |