| Regimental number | 5924 |
| Place of birth | Wales, England |
| Religion | Congregational |
| Occupation | Miner |
| Address | Kalgoorlie, Western Australia |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Harriet Smith, Corrimel PO, Corrimel via Sydney, New South Wales |
| Enlistment date | 22 June 1916 |
| Place of enlistment | Kalgoorlie, Western Australia |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A23 Suffolk on 13 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Effective abroad (still overseas) |
