| Regimental number | 6804 |
| Place of birth | Albury New South Wales |
| Religion | Church of England |
| Occupation | Storeman |
| Address | Tribune Street Albury, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Grandparent, Mrs S Smith, Perry Street, Albury, New South Wales |
| Enlistment date | 16 August 1916 |
| Date of enlistment from Nominal Roll | 4 August 1916 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/30/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Returned to Australia 19 June 1919 |
