| Regimental number | 9969 |
| Place of birth | Bulli New South Wales |
| Religion | Church of England |
| Occupation | Miner |
| Address | Bulli PO, Bulli, New South Wales |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs E A Smith, Viceils Lane, Bulli, New South Wales |
| Enlistment date | 9 November 1915 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 1, Reinforcement 13 |
| AWM Embarkation Roll number | 13/29/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on 17 December 1915 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 1st Divisional Ammunition Column |
| Fate | Returned to Australia 12 April 1919 |
