| Regimental number | 2262 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Forbes, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, James Smith, Upper Fort Street, Sydney, New South Wales |
| Enlistment date | 21 February 1916 |
| Rank on enlistment | Private |
| Unit name | 56th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/73/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 4 September 1916 |
| Miscellaneous details (Nominal Roll) | crossed out |
