| Regimental number | 3173 |
| Place of birth | Maryborough Victoria |
| Religion | Baptist |
| Occupation | Mechanic |
| Address | Newmarket, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs A Smith, Brown Street, Hamilton, Victoria |
| Enlistment date | 30 January 1918 |
| Rank on enlistment | 2nd Air Mechanic |
| Unit name | Flying Corps, December 1917 Reinforcement |
| AWM Embarkation Roll number | 8/15/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Ormonde on 7 March 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |